Active NPI
Pride Home Care Corp
- Home Health Agency
- Rochester, MN
National Provider Identifier
1255986170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRIDE HOME CARE CORP
- Practice address
- 6851 10TH Ave SW Ste a
Rochester, MN 55902-2512 - Phone
- (651) 419-4555
- Fax
- (651) 504-6713
- NPI assigned
- Aug 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel Ademola Adebajo
- Title
- Owner
- Phone
- (651) 419-4555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6851 10TH Ave SW Ste a
Rochester, MN 55902-2512
Mailing address
6851 10TH Ave SW Ste a
Rochester, MN 55902-2512
Phone (651) 419-4555
National Provider Directory
National Provider DirectoryLocations
1500 1st Ave NE
Ste 100
Rochester, MN 55906
Phone (612) 990-8631
6851 10th Ave SW
Ste A
Rochester, MN 55902
Phone (651) 419-4555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675209600000",
"number": "1255986170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6851 10TH AVE SW STE A",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559022512",
"telephone_number": "651-419-4555",
"fax_number": "651-504-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6851 10TH AVE SW STE A",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559022512",
"telephone_number": "651-419-4555",
"fax_number": "651-504-6713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIDE HOME CARE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-07",
"last_updated": "2023-02-01",
"certification_date": "2021-01-28",
"status": "A",
"authorized_official_last_name": "ADEBAJO",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "ADEMOLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-419-4555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.