Active NPI
Bond Home Care LLC
- Assisted Living Facility
- Golden Valley, MN
National Provider Identifier
1104669118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2279918 | Bond Home Care | Certificate of waiver | Apr 10, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Bond Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Minneapolis, MN
- NPI 1265129381
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.