Organization Active NPI

Rapha Healthcare Services Inc

  • Assisted Living Facility (Mental Illness)
  • Brooklyn Park, MN
National Provider Identifier
1215425616
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
RAPHA HEALTHCARE SERVICES INC
Practice address
7816 Humboldt Ave N
Brooklyn Park, MN 55444-2140
Phone
(763) 208-6772
Fax
(763) 208-7924
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Mrs. Atinuke Ladipo, RN
Title
Director
Phone
(612) 701-3760

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 385786 MN
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility (Mental Illness) 3104A0625X Primary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

7816 Humboldt Ave N
Brooklyn Park, MN 55444-2140

Mailing address

3300 County Road 10 Ste 525
Brooklyn Center, MN 55429-3072
Phone (612) 701-3760

Other practice location 1

3300 County Road 10 Ste 525
Brooklyn Center, MN 55429-3072
Phone (612) 701-3760

Other identifiers 1

IdentifierTypeStateIssuer
385786OtherMNCOMPREHENSIVE HOME CARE

National Provider Directory

National Provider Directory

Locations

3300 County Road 10
Ste 525
Brooklyn Center, MN 55429
Phone (612) 701-3760

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1215425616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 525",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "612-701-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7816 HUMBOLDT AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554442140",
            "telephone_number": "763-208-6772",
            "fax_number": "763-208-7924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 County Road 10 Ste 525",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554293072",
            "country_code": "US",
            "telephone_number": "612-701-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAPHA HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "LADIPO",
        "authorized_official_first_name": "ATINUKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-701-3760",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "385786",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE HOME CARE",
            "identifier": "385786",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.