Organization
HEALTHGROUPHOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL MOHAMED ABDI (AUTHORIZED PERSON)
(612) 806-7460
Entity
Organization
Contact information
Practice address
8030 OLD CEDAR AVE S STE 227C, BLOOMINGTON, MN 55425-1203
(612) 806-7460
Mailing address
8030 OLD CEDAR AVE S STE 227C, BLOOMINGTON, MN 55425-1203
(612) 806-7460
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1545-0029
—
MN
Enumeration date
08/09/2024
Last updated
10/09/2025
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