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NPISignal

Individual Healthcare Provider

Ilyas A Abdikadir, LPCC

NPI Record: ActiveHome Health Aide
NPI1063729747
Roseville, Minnesota

Provider's NPPES record last updated: April 24, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1063729747
Primary Specialty
Home Health Aide
Practice Location
Roseville, Minnesota
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 7:10 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Home Health Aide

    Nursing Service Related Providers

    Primary

    A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

    Taxonomy code 374U00000X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X
  • Psychologist

    Group Psychotherapy

    Behavioral Health & Social Service Providers

    A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

    Taxonomy code 103TP2701X

Provider-Reported License Information

Home Health Aide (Minnesota)
2740
Counselor (Minnesota)
2740
Psychologist (Minnesota)
2740
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1751 County Road B W Ste 101

Roseville, Minnesota 55113-4037

Phone: (612) 615-6848

Additional Practice Location

5005 Texas St

203

San Diego, California 92108-3721

Phone: (619) 692-0727

Record Information

Enumeration Date
September 1, 2010
Provider's NPPES Record Last Updated
April 24, 2025
Certification Date
April 24, 2025
NPISignal NPPES Dataset
August 2026

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