Olidia Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

25418 Issued in MN

Legal business name

OLIDIA CARE INC

Practice address

7530 Market Place Dr
Eden Prairie, MN 55344-3636

Phone

(763) 634-5994

Fax

(763) 634-5997

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Olivier B Nkwonkam

Title

Chief Administrative Officer

Phone

(612) 567-7780

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1083808208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 85TH AVE N STE 101",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432055",
            "telephone_number": "763-634-5994",
            "fax_number": "763-634-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 MARKET PLACE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443636",
            "telephone_number": "763-634-5994",
            "fax_number": "763-634-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIDIA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "NKWONKAM",
        "authorized_official_first_name": "OLIVIER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "612-567-7780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "25418",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Eden Prairie, MN
• Providers in Eden Prairie, 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 Mar 18, 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.