# CRYSTAL HOME HEALTHCARE L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255294948
- **Authorized official:** NAJMA ABDISALAN (OWNER)
- **Authorized official phone:** (612) 459-0249

## Contact information

- **Practice address:** 11015 BREN RD E UNIT A219, MINNETONKA, MN 55343-2044
- **Practice address phone:** (612) 459-0249
- **Mailing address:** 11015 BREN RD E UNIT A219, MINNETONKA, MN 55343-2044
- **Mailing address phone:** (612) 459-0249

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2025
- **Last updated:** 12/08/2025