Ngufor

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

28144 Issued in MN

Legal business name

NGUFOR

Practice address

6500 Brooklyn Blvd
Suite 108
Brooklyn Center, MN 55429-1754

Phone

(651) 329-6478

Fax

(763) 205-5899

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Patrick Azeh Ngufor, MBA

Title

Owner (Administrator)

Phone

(651) 329-6478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1013297027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BROOKLYN BLVD",
            "address_2": "SUITE 108",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291754",
            "telephone_number": "651-329-6478",
            "fax_number": "763-205-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROOKLYN BLVD",
            "address_2": "SUITE 108",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291754",
            "telephone_number": "651-329-6478",
            "fax_number": "763-205-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUFOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUFOR",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "AZEH",
        "authorized_official_title_or_position": "OWNER (ADMINISTRATOR)",
        "authorized_official_telephone_number": "651-329-6478",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "28144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn Center, MN
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• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.