Organization Active NPI

Bond Home Care LLC

  • Assisted Living Facility
  • Golden Valley, MN
National Provider Identifier
1104669118
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BOND HOME CARE LLC
Practice address
6445 Olson Memorial Hwy
Golden Valley, MN 55427-4947
Phone
(612) 402-1571
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Khalid Jahangir
Title
Director/Owner
Phone
(612) 402-1571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6445 Olson Memorial Hwy
Golden Valley, MN 55427-4947

Mailing address

6445 Olson Memorial Hwy
Golden Valley, MN 55427-4947
Phone (612) 402-1571

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
24D2279918Bond Home Care6445 Olson Memorial Hwy, Golden Valley, MN 55427Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bond Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1104669118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 OLSON MEMORIAL HWY",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274947",
            "telephone_number": "612-402-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 OLSON MEMORIAL HWY",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274947",
            "telephone_number": "612-402-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "JAHANGIR",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "612-402-1571"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.