Organization Active NPI

Keycare Minnesota LLC

  • Clinic/Center
  • Oakdale, MN
National Provider Identifier
1124788633
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KEYCARE MINNESOTA LLC
Practice address
6454 26TH St N
Oakdale, MN 55128-3506
Phone
(651) 348-9073
NPI assigned
Dec 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Foyeu Nulla
Title
Owner
Phone
(651) 348-9073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6454 26TH St N
Oakdale, MN 55128-3506

Mailing address

6454 26TH St N
Oakdale, MN 55128-3506

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1124788633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6454 26TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551283506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6454 26TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551283506",
            "telephone_number": "651-348-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYCARE MINNESOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "NULLA",
        "authorized_official_first_name": "FOYEU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-348-9073"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.