Olydia Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OLYDIA HOME CARE INC

Practice address

7530 Market Place Dr
Eden Prairie, MN 55344-3636

Phone

(612) 703-6144

Fax

(763) 634-5997

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Lydia B Nkwonkam

Title

Chief Executive Officer

Phone

(612) 761-4403

Specialties & licenses 1

Addresses

Other names 1

• OLIDIA SERVICES INC. Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1427360114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 MARKET PLACE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443636",
            "telephone_number": "651-270-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 MARKET PLACE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443636",
            "telephone_number": "612-703-6144",
            "fax_number": "763-634-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYDIA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "NKWONKAM",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "612-761-4403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLIDIA SERVICES INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "OLIDIA SERVICES INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephen Olsen
• Tanner Olsen
• David Olson
• Melanie R Olson, PT
• Rebecca Ann Olson
• Kelly Olzenak, MPH, RD
• Abdiqani Omar
• Abdiwahab Abdi Omar
• Hawa Omar
• Maya Nina Omar

• Home Health Agency in Eden Prairie, MN
• Providers in Eden Prairie, 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 Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.