Organization
SHIFFO HOME HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAMDI DAHIR ADEN LPN (DIRECTOR)
(507) 289-5801
Entity
Organization
Contact information
Practice address
12 ELTON HILLS DR NW, SUITE # 207, ROCHESTER, MN 55901-3516
(507) 289-5801
(507) 289-5885
Mailing address
12 ELTON HILLS DR NW, SUITE # 207, ROCHESTER, MN 55901-3516
(507) 289-5801
(507) 289-5885
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
330591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165340
UCARE MN
MN
01
—
308K6SH
BLUE CROSS AND BLUE SHIEL
MN
01
—
308K7SH
BLUE CROSS AND BLUE SHIEL
MN
Enumeration date
11/15/2006
Last updated
08/22/2020
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