Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Penneh Issie Home Healthcare

Organization Home Health Clinical Nurse Specialist · NPI 1194677708

Penneh Issie Home Healthcare provides Home Health Clinical Nurse Specialist services in Elk River, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

19141 Johnson St NW
Elk River, MN 55330-7088
Phone: (763) 321-0809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
Home Health Clinical Nurse Specialist Taxonomy 364SH0200X

Record details

NPI number1194677708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Kaba — Director · (763) 321-0809
NPI enumeratedFebruary 14, 2026
Last updated in NPPESFebruary 14, 2026
Certification dateFebruary 14, 2026
Mailing address19141 Johnson St Nw, Elk River, MN 55330-7088