Certified Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1081849-1-HCBS Issued in MN

Legal business name

CERTIFIED CARE INC

Doing business as

Certified Home Care

Practice address

7340 Noble CT N
Brooklyn Park, MN 55443-3465

Phone

(763) 291-1162

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Iyabo Oluwakemi Adeyemi

Title

Owner

Phone

(763) 291-1162

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Certified Home Care Doing business as

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1295286748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE",
            "address_2": "#140A",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "763-291-1162",
            "fax_number": "612-437-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 NOBLE CT N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433465",
            "telephone_number": "763-291-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "IYABO",
        "authorized_official_middle_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-291-1162",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "1081849-1-HCBS",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "1081849-1-HCBS",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A236937000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, 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 Oct 19, 2016; 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.