# SHEBA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHEBA
- **Other names:** Amen Home Care Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124838123
- **Legal business name:** SHEBA
- **Authorized official:** SIMELE ADIMASU (MANAGER)
- **Authorized official phone:** (651) 354-8821

## Contact information

- **Practice address:** 2303 DAHL AVE E, MAPLEWOOD, MN 55119-5831
- **Practice address phone:** (651) 354-8821
- **Mailing address:** 2303 DAHL AVE E, MAPLEWOOD, MN 55119-5831
- **Mailing address phone:** (651) 354-8821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 01/10/2025
- **Last updated:** 01/10/2025