Organization Active NPI

New Haven Home Health Services Corp

  • Health Service Clinic/Center
  • Woodbury, MN
National Provider Identifier
1033956016
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NEW HAVEN HOME HEALTH SERVICES CORP
Practice address
8638 Seasons CT
Woodbury, MN 55125-9126
Phone
(651) 278-5161
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Adebowale Ojubayo Olagunju, RN
Title
Program Director
Phone
(651) 278-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

8638 Seasons CT
Woodbury, MN 55125-9126

Mailing address

8638 Seasons CT
Woodbury, MN 55125-9126
Phone (651) 278-5161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1033956016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 SEASONS CT",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259126",
            "telephone_number": "651-278-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8638 SEASONS CT",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259126",
            "telephone_number": "651-278-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN HOME HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "OLAGUNJU",
        "authorized_official_first_name": "ADEBOWALE",
        "authorized_official_middle_name": "OJUBAYO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "651-278-5161",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.