Organization
ALPHA GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULKADIR ISMAIL JAMA (OWNER)
(612) 558-4384
Entity
Organization
Contact information
Practice address
2915 S WAYZATA BLVD, MINNEAPOLIS, MN 55405-2145
(612) 558-4384
(612) 486-7304
Mailing address
2915 WAYZATA BLVD STE 103, MINNEAPOLIS, MN 55405-2145
(612) 558-4384
(612) 486-7304
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/29/2023
Last updated
03/16/2025
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