Organization Active NPI

Golden Valley Support Services LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1134930761
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN VALLEY SUPPORT SERVICES LLC
Practice address
1845 Wisconsin Ave N
Minneapolis, MN 55427-3962
Phone
(612) 961-4214
NPI assigned
Jan 14, 2025
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Ubah Jama
Title
Owner
Phone
(612) 961-4214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1845 Wisconsin Ave N
Minneapolis, MN 55427-3962

Mailing address

1845 Wisconsin Ave N
Minneapolis, MN 55427-3962
Phone (612) 961-4214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1134930761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 WISCONSIN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554273962",
            "telephone_number": "612-961-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 WISCONSIN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554273962",
            "telephone_number": "612-961-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "UBAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-961-4214"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.