# MINA HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1679236970
- **Authorized official:** BASRA ADAN MS (DIRECTOR)
- **Authorized official phone:** (314) 314-5374

## Contact information

- **Practice address:** 1451 MULLANPHY ST, SAINT LOUIS, MO 63106-3114
- **Practice address phone:** (314) 443-9132
- **Practice address fax:** (636) 222-8105
- **Mailing address:** 1213 ROCKRIDGE PL, SAINT LOUIS, MO 63122-7351
- **Mailing address phone:** (314) 537-4293
- **Mailing address fax:** (314) 822-8105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2021
- **Last updated:** 08/06/2025