ISHMAEL KOMARA (NPI# 1548702889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548702889 |
| Entity Type | Individual |
| Full Name | ISHMAEL KOMARA |
| Practice Address |
5317 Brookdale Dr N Brooklyn Park MN 55443-3010 |
| Practice Telephone | 7634582727 |
| Practice Fax Number | 7632070076 |
| Mailing Telephone | 7634582727 |
| Mailing Fax Number | 7632070076 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
R177789-5 | MN | Nursing Service Providers |
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| Street Address |
5317 BROOKDALE DR N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088781 | Angel Hearts Health Care Services LLC | Registered Nurse | 6509 76th Ave N, Brooklyn Park, MN 55428-1433 | 2020-03-18 |
| 1659910818 | Adjoa Garbrah-aidoo | Registered Nurse | 3010 81st Cir N, Brooklyn Park, MN 55444-1654 | 2020-01-04 |
| 1851941819 | Angelic Touch Homecare LLC | Registered Nurse | 7940 Fairfield Rd, Brooklyn Park, MN 55444-2069 | 2019-09-12 |
| 1265996854 | Van Ngo Guerre | Registered Nurse | 8525 Edinbrook Xing Ste 107c, Brooklyn Park, MN 55443-1967 | 2019-01-28 |
| 1013487552 | Ambe Ernest Che | Registered Nurse | 8807 Kilbirnie Ter, Brooklyn Park, MN 55443-1930 | 2018-11-27 |
| 1720556236 | Margaret Sia Tolbert | Registered Nurse | 9118 Woodhall Xing N, Brooklyn Park, MN 55443-1621 | 2018-11-02 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1548714199 | Gloria Lukalu | Registered Nurse | 8317 Xerxes Ave N, Brooklyn Park, MN 55444-1543 | 2016-08-12 |
| 1285092668 | Vicki Xiong | Registered Nurse | 3815 Globe Flower Cir N, Brooklyn Park, MN 55443-1532 | 2016-02-01 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
Please comment or provide details below to improve the information on ISHMAEL KOMARA.
| 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.