Organization Active NPI

Park Point Inc

  • Home Health Agency
  • Fridley, MN
National Provider Identifier
1073883666
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PARK POINT INC
Practice address
7362 University Ave NE Ste 211
Fridley, MN 55432-3151
Phone
(763) 205-3891
Fax
(612) 206-8284
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Elvis E OsagieNPI 1336757194
Title
President/Ceo
Phone
(347) 693-8496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Community/Retail Pharmacy 3336C0003X 263818 MN

Addresses

Primary practice location

7362 University Ave NE Ste 211
Fridley, MN 55432-3151

Mailing address

7362 University Ave NE Ste 211
Fridley, MN 55432-3151
Phone (763) 205-3891

Other identifiers 1

IdentifierTypeStateIssuer
2431207OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2178957Park Point Inc7362 University Ave NE Ste 211, Fridley, MN 55432Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

7648 Zane Ave N
Ste 104
Brooklyn Park, MN 55443

7362 University Ave NE
Ste 211
Fridley, MN 55432
Phone (763) 205-3891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1073883666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 211",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323151",
            "telephone_number": "763-205-3891",
            "fax_number": "612-206-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 211",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323151",
            "telephone_number": "763-205-3891",
            "fax_number": "612-206-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK POINT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "OSAGIE",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "347-693-8496"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2431207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.