Organization · NPI-2
Aspen Home Health Care
Home Health · Brooklyn Park, MN
NPI number1386101129
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1386101129
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspen Home Health Care
- Organization subpart
- No
- Enumeration date
- Feb 28, 2019
- Certification date
- Aug 7, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – |
Other names
- Aspen Home Health Care INC. (Doing Business As)
Practice location
8525 Edithbrook CrossingSuite 104a
Brooklyn Park, MN 55443-1900
Phone 612-876-1913 · Fax 763-205-1584
Mailing address
8525 Edithbrook CrossingSuite 104a
Brooklyn Park, MN 55443-1900
Phone 612-876-1913 · Fax 763-205-1584
Authorized official
Fathia Moussa
Owner
6128761913
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