Provider Demographics
NPI:1174364756
Name:KULAN HOME HEALTH CARE INC
Entity type:Organization
Organization Name:KULAN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMERA
Authorized Official - Middle Name:MAHAD
Authorized Official - Last Name:QADIID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-310-5545
Mailing Address - Street 1:15108 CIMARRON WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-1799
Mailing Address - Country:US
Mailing Address - Phone:612-310-5545
Mailing Address - Fax:612-605-5348
Practice Address - Street 1:15108 CIMARRON WAY
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-1799
Practice Address - Country:US
Practice Address - Phone:612-310-5545
Practice Address - Fax:612-605-5348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty