Provider Demographics
NPI:1669187076
Name:ASIYA HOME CARE INC
Entity type:Organization
Organization Name:ASIYA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUSAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULKADIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-250-2486
Mailing Address - Street 1:8001 33RD AVE S UNIT B628
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4621
Mailing Address - Country:US
Mailing Address - Phone:612-250-2486
Mailing Address - Fax:
Practice Address - Street 1:2817 ANTHONY LN S STE 310
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-2491
Practice Address - Country:US
Practice Address - Phone:612-250-2486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA927488000Medicaid