Organization Active NPI

Olidia Staffing Inc

  • Case Management Agency
  • Brooklyn Park, MN
National Provider Identifier
1235634395
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OLIDIA STAFFING INC
Practice address
4105 85TH Ave N Ste 101
Brooklyn Park, MN 55443-2055
Phone
(612) 567-7780
Fax
(763) 634-5997
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Olivier B Nkwonkam
Title
Ceo
Phone
(612) 567-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MN Primary

Addresses

Primary practice location

4105 85TH Ave N Ste 101
Brooklyn Park, MN 55443-2055

Mailing address

4105 85TH Ave N Ste 101
Brooklyn Park, MN 55443-2055
Phone (612) 567-7780

National Provider Directory

National Provider Directory

Locations

4105 85th Ave N
Ste 101
Brooklyn Park, MN 55443
Phone (612) 567-7780

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1235634395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 85TH AVE N STE 101",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432055",
            "telephone_number": "612-567-7780",
            "fax_number": "763-634-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 85TH AVE N STE 101",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432055",
            "telephone_number": "612-567-7780",
            "fax_number": "763-634-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIDIA STAFFING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "NKWONKAM",
        "authorized_official_first_name": "OLIVIER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-567-7780"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 29, 2018; 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.