Organization Active NPI

Metro Health Care Services LLC

  • Home Health Agency
  • Maplewood, MN
National Provider Identifier
1093043804
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
379351 Issued in MN
Legal business name
METRO HEALTH CARE SERVICES LLC
Practice address
1322 Burke Cir E
Maplewood, MN 55109-3450
Phone
(651) 348-7247
Fax
(651) 756-1696
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Abdi Galgalo Gonjobe, M.D.
Title
President/Ceo
Phone
(651) 348-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 379351 MN Primary

Addresses

Primary practice location

1322 Burke Cir E
Maplewood, MN 55109-3450

Mailing address

1322 Burke Cir E
Maplewood, MN 55109-3450
Phone (651) 348-7247

Other identifiers 2

IdentifierTypeStateIssuer
A013422200MedicaidMN
A806655300MedicaidMN

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
24D2087656Metro Health Care Services LLC1322 Burke Circle East, Maplewood, MN 55109Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093043804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 BURKE CIR E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551093450",
            "telephone_number": "651-348-7247",
            "fax_number": "651-756-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 BURKE CIR E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551093450",
            "telephone_number": "651-348-7247",
            "fax_number": "651-756-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONJOBE",
        "authorized_official_first_name": "ABDI",
        "authorized_official_middle_name": "GALGALO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "651-348-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "379351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A013422200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A806655300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.