NPIMap

Organization Active NPI

Secured Health and Homecare Inc

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1043163371
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SECURED HEALTH AND HOMECARE INC
Practice address
7601 Regent Ave N
Brooklyn Park, MN 55443-3348
Phone
(763) 438-8869
Fax
(763) 438-8869
NPI assigned
Feb 17, 2026
Organization subpart
Yes
Parent organization
SECURED HEALTH AND HOMECARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Abiola Ijadimbola
Title
Owner/Operation Director
Phone
(763) 438-8869

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X

Addresses

Primary practice location

7601 Regent Ave N
Brooklyn Park, MN 55443-3348

Mailing address

4519 104TH Ave N
Brooklyn Park, MN 55443-1030
Phone (763) 438-8869

Other names 1

  • Secured Health Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Secured Health and Homecare Inc3 organizations share this tax ID, including this one
Part of
Secured Health and Homecare Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1043163371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 104TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431030",
            "telephone_number": "763-438-8869",
            "fax_number": "763-438-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 REGENT AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433348",
            "telephone_number": "763-438-8869",
            "fax_number": "763-438-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURED HEALTH AND HOMECARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECURED HEALTH AND HOMECARE INC",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "IJADIMBOLA",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "OWNER/OPERATION DIRECTOR",
        "authorized_official_telephone_number": "763-438-8869"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secured Health Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.