Abdi S Omer

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

420710 Issued in MN

Practice address

PO Box 131102
Roseville, MN 55113-0010

Phone

(651) 432-2401

NPI assigned

Aug 20, 2025

Last updated

Aug 20, 2025By 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

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.

• Kujoog Home Healthcare Inc.

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1871461822
  NPD Authorized official

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1396622205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BARCLAY ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062831",
            "telephone_number": "651-432-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 131102",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551130010",
            "telephone_number": "651-432-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMER",
        "first_name": "ABDI",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "420710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Olson, M.D.
• Maranda Olson
• Megan Olson, PA-C
• Abdifatah Shariff Omar
• Najma Mohamed Omar
• Nura Abdi Omer
• Omnipotent Youth Society L.L.C. (Good Soup Counseling)
• Onefamily Therapy & Wellness Center LLC (OneFamily Therapy & Wellness Center)
• Rachael Marie Opseth
• Optage Inc (Eaglecrest)

• Home Health Agency in Roseville, MN
• Providers in Roseville, 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 Aug 20, 2025; 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.