JOHN A MOMOH


Address: 7710 Brooklyn Blvd #109, Brooklyn Park, MN 55443-2966
Phone: 7635660544

JOHN A MOMOH (NPI# 1750565362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750565362
Entity Type Individual
Full Name JOHN A MOMOH
Practice Address 7710 Brooklyn Blvd #109
Brooklyn Park
MN 55443-2966
Practice Telephone 7635660544
Practice Fax Number 7635665577
Mailing Telephone 7635660544
Mailing Fax Number 7635665577
Enumeration Date 2007-12-19
Last Update Date 2007-12-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
97694 MN Nursing Service Related Providers
N 374U00000X Home Health Aide 97694 MN Nursing Service Related Providers

Office Location

Street Address 7710 BROOKLYN BLVD #109
City BROOKLYN PARK
State MN
Zip Code 55443-2966

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134750789 Lamonica Barthelemy Technician 9232 James Ave N, Brooklyn Park, MN 55444-1234 2020-02-03
1790161164 Hanna Barr Technician 9320 Austrian Pine Ave N, Brooklyn Park, MN 55443-1787 2015-08-07
1588810642 Harriet Makiti Welwolie Technician 3617 80th Ave N, Brooklyn Park, MN 55443-2801 2008-08-08
1093983470 Anouphab Andy Thoprakarn Technician 4700 92nd Cres, Brooklyn Park, MN 55443-1642 2008-02-19
1326258336 Pang Tang Her Technician 9217 W River Rd, Brooklyn Park, MN 55444-1219 2007-05-22
1477613495 David Ato Simmons Technician 8232 Edgewood Ave N, Brooklyn Park, MN 55445-2524 2006-12-11
1952762742 Sharon Ellis Technician 9904 Linden Ave N, Brooklyn Park, MN 55443-1851 2016-03-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245830835 Dorothy Gomez Technician 622 1st Ave Ne, East Grand Forks, MN 56721-1905 2020-10-31
1972102457 A1 Care Shriners At Home Services Inc. Technician 4665 Victor Path Unit 2, Hugo, MN 55038-6037 2020-10-25
1770196065 Amina Webi Technician 2930 Blaisdell Ave Apt 333, Minneapolis, MN 55408-2326 2020-08-26
1194343269 Khadro Abdirahman Yusuf Technician 1500 Nicollet Ave Apt 609, Minneapolis, MN 55403-2740 2020-07-06
1811511215 Royalty Care, Inc Technician 46 28th Ave N Ste 46u, Saint Cloud, MN 56303-4241 2020-06-01
1245853506 Julie Ann Milnler Technician 17520 93rd Pl N, Maple Grove, MN 55311-4434 2020-05-21
1932729704 Owegio Wreh Technician 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 2020-04-22
1053946632 Lovingcare Nursing & Home Care Services, Inc. Technician 1152 Robert St S, West St Paul, MN 55118-2315 2020-03-04
1982238085 Jerald Haley Technician 924 6th Ave. S., Stillwater, MN 55082 2020-02-27
1336773522 Hiedi Philstrom Technician 56656 Stephanie Ln, Pine City, MN 55063-9095 2020-02-26
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Competitor

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City BROOKLYN PARK
Zip Code 55443

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Dataset Information

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.

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