Oswald Dema

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

418044 Issued in MN

Practice address

3300 County Road 10
Ste 200D
Brooklyn Center, MN 55429-3065

Phone

(612) 886-4585

NPI assigned

Nov 19, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lighthouse Premium Home Care LLC

  • Nursing Care Agency
  • Brooklyn Center, MN
  • NPI 1548085079

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1265257877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 200D",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293065",
            "telephone_number": "612-886-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10",
            "address_2": "STE 200D",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293065",
            "telephone_number": "612-886-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMA",
        "first_name": "OSWALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "418044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rose Deason
• Deende LLC
• Katherine Degear
• Mercedes Dehmer
• Camille Delisi, D.O.
• Angela Marie Denney
• Dental Consultants LLC (Aspen Dental)
• Dental Specialists of Minnesota, PLLC (The Dental Specialists)
• Mark Depaolis, MD
• Beth Anne Despiegelaere, OD

• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.