Advance Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

337955 Issued in MN

Legal business name

ADVANCE HOME HEALTH

Practice address

6800 78TH Ave N Ste 110
Brooklyn Park, MN 55445-2758

Phone

(763) 503-1125

Fax

(763) 503-1127

NPI assigned

Jul 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Osei, PT

Title

Owner

Phone

(763) 503-1122

Specialties & licenses 1

Addresses

Other identifiers 1

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1003072935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 78TH AVE N STE 110",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452758",
            "telephone_number": "763-503-1125",
            "fax_number": "763-503-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 78TH AVE N STE 110",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452758",
            "telephone_number": "763-503-1125",
            "fax_number": "763-503-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "OSEI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-503-1122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "337955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A026646900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyria Adem
• Kehinde Carolyn Adenodi, RN
• Oluseye Akeem Adenusi
• Maqsuud Ali Adeys
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• Advance Motion Physical Therapy
• Advantage Healthcare, Inc.
• Aegis Group Practice LLC
• Agape Counseling Services

• All providers in Brooklyn Park, MN
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.