MR. ABDUL KABBA (NPI# 1356898985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356898985 |
| Entity Type | Individual |
| Full Name | MR. ABDUL KABBA |
| Practice Address |
79oo Lad Parkway Brooklyn Park MN 55443 |
| Mailing Address |
7900 Lad Pkwy Brooklyn Park MN 55443-2860 |
| Practice Telephone | 7633169352 |
| Mailing Telephone | 7633169352 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
79OO LAD PARKWAY |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1588110225 | Kylie Ryan | Dietitian, Registered | 9409 Zane Ave North, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1336606912 | Oluseye Akeem Adenusi | Driver | 6609 Hillsboro Ave N, Brooklyn Park, MN 55428-1862 | 2019-03-01 |
| 1538554621 | Yolanda Mays | Driver | 7224 Georgia Ave N, Brooklyn Park, MN 55428-1451 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322273 | Melissa Jo Dahlstrom | Driver | 185 Hidden Vly, Minnesota City, MN 55959-1231 | 2020-09-30 |
| 1346866100 | Oral M Sledge | Driver | 4261 Penn Ave N, Minneapolis, MN 55412-1537 | 2020-06-17 |
| 1790318186 | Grace Edith Line | Driver | 2934 168th Ln Nw, Andover, MN 55304-1928 | 2020-02-13 |
| 1174180640 | Kathryn L Pederson | Driver | 22329 141st St Ne, Hawick, MN 56273-7705 | 2019-05-21 |
| 1710444146 | Abdi Fatah | Driver | 2509 Pillsbury Ave S Apt 208, Minneapolis, MN 55404-4206 | 2019-02-21 |
| 1932665403 | Mark Shea | Driver | 17242 Horizon Trl Se, Prior Lake, MN 55372-3939 | 2019-02-20 |
| 1861975765 | Kenyi Okucu | Driver | 1490 148th Ave Nw, Andover, MN 55304-3459 | 2018-09-07 |
| 1013498872 | Nebiyu Jamal Fanta | Driver | 478 University Ave W, Saint Paul, MN 55103-1935 | 2018-08-28 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| 1972094951 | Adam Firas Alaiwi | Driver | 4111 Central Ave Ne Ste 208a, Columbia Heights, MN 55421-2955 | 2018-05-24 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
Please comment or provide details below to improve the information on MR. ABDUL KABBA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.