Provider Demographics
NPI:1235939349
Name:EPIC HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:EPIC HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:612-707-5737
Mailing Address - Street 1:2475 15TH ST NW STE C
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-5606
Mailing Address - Country:US
Mailing Address - Phone:612-714-9827
Mailing Address - Fax:651-846-9599
Practice Address - Street 1:2475 15TH ST NW STE C
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-5606
Practice Address - Country:US
Practice Address - Phone:612-714-9827
Practice Address - Fax:651-846-9599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health