NPIMap

Organization Active NPI

Girma a Dufera and Edoshe B Gari

  • In Home Supportive Care Agency
  • Savage, MN
National Provider Identifier
1093413882
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GIRMA A DUFERA AND EDOSHE B GARI
Doing business as
Girma A Dufera and Edoshe B Gari
Practice address
14511 Lockslie TRL
Savage, MN 55378-2257
Phone
(612) 517-8429
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Mr. Girma A DuferaNPI 1740993856
Title
Program Co-Ordinator
Phone
(612) 517-8429

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14511 Lockslie TRL
Savage, MN 55378-2257

Mailing address

14511 Lockslie TRL
Savage, MN 55378-2257
Phone (612) 517-8429

Other identifiers 1

IdentifierTypeStateIssuer
8523691MedicaidMN

Other names 1

  • Girma A Dufera and Edoshe B Gari Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1093413882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 LOCKSLIE TRL",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782257",
            "telephone_number": "612-517-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 LOCKSLIE TRL",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782257",
            "telephone_number": "612-517-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRMA A DUFERA AND EDOSHE B GARI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "DUFERA",
        "authorized_official_first_name": "GIRMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM CO-ORDINATOR",
        "authorized_official_telephone_number": "612-517-8429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8523691",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girma A Dufera and Edoshe B Gari",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.