OMOCARE LLC (NPI# 1508309451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508309451 |
| Entity Type | Organization |
| Organization Name | OMOCARE LLC |
| Practice Address |
3300 County Road 10 Ste 200a Brooklyn Center MN 55429-3065 |
| Mailing Address |
7708 67th Ave N Brooklyn Park MN 55428-2212 |
| Practice Telephone | 7636074300 |
| Practice Fax Number | 6123514259 |
| Mailing Telephone | (762) 607-4300 |
| Mailing Fax Number | 6123514259 |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | RAPHAEL OMODUNMIJU (ADMINISTRATOR) |
| Authorized Official Telephone | 6122982513 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 379629 | MN | Nursing Service Providers |
| Y | 251J00000X | Nursing Care | 379629 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA STATE DEPARTMENT OF HEALTH | 32623 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7708 67th Ave N, Brooklyn Park, MN 554282212 | 6125622750 |
| Street Address |
3300 COUNTY ROAD 10 STE 200A |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55429-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| Find all providers in zip 55429 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155758 | Caregiver Staffing Solutions LLC | Nursing Care | 3300 County Road 10 Ste 120g, Brooklyn Center, MN 55429-3064 | 2020-02-11 |
| 1851932495 | Baby Ben Staffing Services LLC | Nursing Care | 5701 Shingle Creek Pkwy Ste 105, Brooklyn Center, MN 55430-2467 | 2019-10-04 |
| 1407336118 | Royal Star Residence, Inc. | Nursing Care | 5701 Shingle Creek Pkwy N, Suite 500q, Brooklyn Center, MN 55430-2386 | 2018-08-21 |
| 1598276909 | Angels Health & Home Care Svcs Inc | Nursing Care | 3300 County Road 10 Ste 522, Brooklyn Center, MN 55429-3072 | 2017-10-12 |
| 1508308842 | Care Partners Homecare LLC | Nursing Care | 5701 Shingle Creek Pkwy Ste 210i, Brooklyn Center, MN 55430-2330 | 2016-11-16 |
| 1508197054 | Covenant Care, LLC | Nursing Care | 7015 Brooklyn Blvd, Suite 106, Brooklyn Center, MN 55429-1365 | 2010-01-22 |
| 1376794396 | Arms of Compassion Home Care Service | Nursing Care | 3825 51st Ave N, Brooklyn Center, MN 55429-3368 | 2008-10-08 |
| 1770775462 | Reliable Human Services, Inc | Nursing Care | 5701 Shingle Creek Parkway North, Suite 470, Brooklyn Center, MN 55430-2467 | 2007-08-15 |
| 1598143075 | Bridging Together LLC Agency | Nursing Care | 5701 Shingle Creek Pkwy, #410, Brooklyn Center, MN 55430-2467 | 2015-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283044 | Tc Healthcare | Nursing Care | 505 Highway 169 N Ste 255, Plymouth, MN 55441-6463 | 2020-10-19 |
| 1215546858 | B&l Anesthesia | Nursing Care | 5006 Woodlawn St, Duluth, MN 55804-1180 | 2020-07-29 |
| 1114535473 | Premium Health Care Inc. | Nursing Care | 1 W Lake St Apt 221, Minneapolis, MN 55408-3151 | 2020-07-22 |
| 1477170231 | Midwest Group Homes LLC | Nursing Care | 1411 W Saint Germain St Ste 6, Saint Cloud, MN 56301-4179 | 2020-06-28 |
| 1427672021 | Caring Rose Homes LLC | Nursing Care | 1043 Hague Ave, Saint Paul, MN 55104-6520 | 2020-05-31 |
| 1164043683 | Nina Philicia Bangu | Nursing Care | 18837 Smith Dr Nw, Elk River, MN 55330-7510 | 2020-05-06 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1154941128 | Gentle Haven | Nursing Care | 8045 159th St W, Apple Valley, MN 55124-7054 | 2020-04-20 |
| 1659991545 | Belong Health Care | Nursing Care | 4809 Oxborough Gdns, Brooklyn Park, MN 55443-3993 | 2020-04-20 |
| 1316574007 | Hope Wellness Center Inc. | Nursing Care | 3119 4th Ave S, Minneapolis, MN 55408-3231 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55429 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.