Gentle Heart Homecare

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

24847 Issued in MN

Legal business name

GENTLE HEART HOMECARE

Practice address

7252 72ND LN N
Brooklyn Park, MN 55428-1631

Phone

(763) 913-0325

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Queena Gbadamosi, LPN

Title

Owner

Phone

(763) 533-5500

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1336545490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 FREMONT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302628",
            "telephone_number": "763-913-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7252 72ND LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281631",
            "telephone_number": "763-913-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE HEART HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "GBADAMOSI",
        "authorized_official_first_name": "QUEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-533-5500",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "24827",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MN",
            "license": "24847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF HEALTH",
            "identifier": "24827",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.