Qualicare Homes Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

QUALICARE HOMES CORPORATION

Practice address

950 121St LN NW
Coon Rapids, MN 55448-2139

Phone

(763) 324-8220

Fax

(763) 324-8250

NPI assigned

Feb 17, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Afolabi Olumuyiwa Osiberu

Title

Administrator

Phone

(763) 324-8220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1053944165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 104TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452692",
            "telephone_number": "763-324-8220",
            "fax_number": "763-324-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 121ST LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482139",
            "telephone_number": "763-324-8220",
            "fax_number": "763-324-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE HOMES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "OSIBERU",
        "authorized_official_first_name": "AFOLABI",
        "authorized_official_middle_name": "OLUMUYIWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-324-8220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiann Marie Propp, NP
• Prosperity Adult Day Services
• Ian Provence, DPT
• Pradeep Putlur, MD
• Abigail Quaas
• Marianna Kristine Anderson Quanbeck
• William F Qubty, MD
• Timothy J Rabb, NP
• Nicole Terese Radke, CNP
• Gannon Raguse

• Home Health Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.