Provider Demographics
NPI:1831078393
Name:NAWAD HOME CARE LLC
Entity type:Organization
Organization Name:NAWAD HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRASHID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-647-4040
Mailing Address - Street 1:115 E 54TH ST APT 209
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1972
Mailing Address - Country:US
Mailing Address - Phone:763-647-4040
Mailing Address - Fax:
Practice Address - Street 1:282 LISBON ST APT 101C
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7361
Practice Address - Country:US
Practice Address - Phone:763-647-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care