Organization
HEARTHSIDE CARE LLC
Active
Organization
HEARTHSIDE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYUB MOHAMED (CEO)
(952) 222-2222
Entity
Organization
Contact information
Practice address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
(962) 222-2222
Mailing address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up