Code Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

339178 Issued in MN

Legal business name

CODE CARE LLC

Practice address

3612 104TH TRL N
Brooklyn Park, MN 55443-1011

Phone

(612) 708-6061

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Chuma Olisa Ikegwuani

Title

Administrator

Phone

(612) 708-6061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1114105012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 104TH TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431011",
            "telephone_number": "612-708-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 104TH TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431011",
            "telephone_number": "612-708-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "IKEGWUANI",
        "authorized_official_first_name": "CHUMA",
        "authorized_official_middle_name": "OLISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-708-6061"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "339178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Marie Cindrich, CPRS
• Kaitlin Clawson, OTR/L
• CLD - Brooklyn Park MN, LLC
• Timothy Allen Clem, DO
• Chad Alan Clementson, D.C.
• Kami Colberg
• Coleman Investment
• Columbia Park Medical Group, PA
• Columbia Park Medical Group, PA
• Columbia Park Medical Group, PA

• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.