# BEACON HOME HEALTH

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

## Provider details

- **NPI number:** 1285461343
- **Authorized official:** MUHAMADAMIN MOHAMED (OWNER)
- **Authorized official phone:** (612) 207-2464

## Contact information

- **Practice address:** 8700 W 36TH ST STE 253, ST LOUIS PARK, MN 55426-3906
- **Practice address phone:** (612) 207-2464
- **Mailing address:** 8700 W 36TH ST STE 253, ST LOUIS PARK, MN 55426-3906
- **Mailing address phone:** (612) 207-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2024
- **Last updated:** 09/13/2024