Overcomer Healthcare Service Corporation

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

382067 Issued in MN

Legal business name

OVERCOMER HEALTHCARE SERVICE CORPORATION

Practice address

1238 Birmingham St
Saint Paul, MN 55106-2116

Phone

(651) 500-6975

NPI assigned

Nov 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Olaniyi Odeku, LPN

Title

Administrator

Phone

(651) 500-6975

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510963200000",
    "number": "1134633704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 HOMESTEAD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285120",
            "telephone_number": "651-500-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 BIRMINGHAM ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062116",
            "telephone_number": "651-500-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMER HEALTHCARE SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-18",
        "last_updated": "2017-11-18",
        "status": "A",
        "authorized_official_last_name": "ODEKU",
        "authorized_official_first_name": "OLANIYI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-500-6975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "382067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Lady of Peace (Our Lady of Peace Hospice)
• Kenneth Ouren
• Ashlyn Jane Ouse Grindberg, OTR/L
• Valerie Overby, L.AC
• Merica Joy Overcash-Thom, LMFT
• Barbara Rose Overholser
• Monica M Overkamp, ANP
• Wendy Ann Oviedo, LSW
• Ovitsky Vision Care of Minnesota PC
• Reed Grace Owens-Pochinka, MD

• Home Health Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2017; 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.