Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penneh Issie Home Healthcare

Organization Home Health Clinical Nurse Specialist · NPI 1194677708

Penneh Issie Home Healthcare is a Home Health Clinical Nurse Specialist 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