South Metro Care Services

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

338790 Issued in MN

Legal business name

SOUTH METRO CARE SERVICES

Practice address

17873 Floral Park Cir
Lakeville, MN 55044-6042

Phone

(612) 423-6619

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Evans Moronge Mogaka

Title

Administrator

Phone

(612) 423-6619

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1083891097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17873 FLORAL PARK CIR",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446042",
            "telephone_number": "612-423-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17873 FLORAL PARK CIR",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446042",
            "telephone_number": "612-423-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MOGAKA",
        "authorized_official_first_name": "EVANS",
        "authorized_official_middle_name": "MORONGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-423-6619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "338790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Sollom, OD
• Abigail Somerville
• Melissa Catherine Gabbert Soukup, PHARM. D.
• Steven John Soukup
• Soul Solace Massage LLC
• South Metro Therapy LLC
• South Suburban Eyecare Specialists PA
• Hannah M Spande, BCBA
• Morgan Speegle, LMT
• Karie Frances Spry

• Home Health Registered Nurse in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.