Organization Active NPI

Abundant Home Health Services LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1295414555
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ABUNDANT HOME HEALTH SERVICES LLC
Practice address
9524 Morgan Ave N
Brooklyn Park, MN 55444-1137
Phone
(763) 772-8743
NPI assigned
Jul 14, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Bamidele Raymond Akinruli
Title
Owner/RN
Phone
(763) 772-8743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9524 Morgan Ave N
Brooklyn Park, MN 55444-1137

Mailing address

9524 Morgan Ave N
Brooklyn Park, MN 55444-1137
Phone (763) 772-8743

Other names 1

  • Abundant HHS Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2268934Abundant Home Health Services LLC9524 Morgan Avenue North, Brooklyn Park, MN 55444Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1295414555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 MORGAN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441137",
            "telephone_number": "763-772-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 MORGAN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441137",
            "telephone_number": "763-772-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "AKINRULI",
        "authorized_official_first_name": "BAMIDELE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER/RN",
        "authorized_official_telephone_number": "763-772-8743"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant HHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.