Active NPI
Safari Home Services LLC
- In Home Supportive Care Agency
- Savage, MN
National Provider Identifier
1417845470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Home Health Aide | 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 DirectoryLocations
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.