Organization Active NPI

Wisdom Care Services LLC

  • Home Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1376323121
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WISDOM CARE SERVICES LLC
Practice address
7565 Dupont Ave N
Brooklyn Park, MN 55444-2552
Phone
(651) 285-2354
NPI assigned
Sep 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Ifiok A Utitufon
Title
Ceo/Owner
Phone
(651) 285-2354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7565 Dupont Ave N
Brooklyn Park, MN 55444-2552

Mailing address

7565 Dupont Ave N
Brooklyn Park, MN 55444-2552
Phone (651) 285-2354

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1376323121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 DUPONT AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554442552",
            "telephone_number": "651-285-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 DUPONT AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554442552",
            "telephone_number": "651-285-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "UTITUFON",
        "authorized_official_first_name": "IFIOK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "651-285-2354"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 29, 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.

Verify at the official NPI Registry.