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).
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 |
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 |
Street Address |
7710 BROOKLYN BLVD #109 |
City | BROOKLYN PARK |
State | MN |
Zip Code | 55443-2966 |
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 | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | BROOKLYN PARK |
Zip Code | 55443 |
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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.