Organization Active NPI

Safari Home Services LLC

  • In Home Supportive Care Agency
  • Savage, MN
National Provider Identifier
1417845470
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAFARI HOME SERVICES LLC
Practice address
5505 W 123Rd St Ste 104
Savage, MN 55378-5506
Phone
(952) 465-5679
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Issa Omar
Title
Owner
Phone
(952) 465-5679

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

5505 W 123Rd St Ste 104
Savage, MN 55378-5506

Mailing address

5505 W 123Rd St Ste 104
Savage, MN 55378-5506
Phone (952) 465-5679

National Provider Directory

National Provider Directory

Locations

5505 W 123rd St
Ste 104
Savage, MN 55378
Phone (952) 239-1717

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1417845470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W 123RD ST STE 104",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553785506",
            "telephone_number": "952-465-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W 123RD ST STE 104",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553785506",
            "telephone_number": "952-465-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "ISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-465-5679"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.