1 Galaxy of Divine Caring, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

343527 Issued in MN

Legal business name

1 GALAXY OF DIVINE CARING, INC.

Practice address

13570 Grove Dr
Suite 211
Maple Grove, MN 55311-4400

Phone

(763) 463-9313

Fax

(763) 494-6709

NPI assigned

Jun 5, 2009

Last updated

Apr 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander O Bassey-Black

Title

Ods

Phone

(763) 463-9313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1457587321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 GROVE DR",
            "address_2": "SUITE 211",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114400",
            "telephone_number": "763-463-9313",
            "fax_number": "763-494-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13570 GROVE DR",
            "address_2": "SUITE 211",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114400",
            "telephone_number": "763-463-9313",
            "fax_number": "763-494-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 GALAXY OF DIVINE CARING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "BASSEY-BLACK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ODS",
        "authorized_official_telephone_number": "763-463-9313"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "343527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A867672200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1 Galaxy of Divine Homecare Services, Inc.
• 1 On 1 Comprehensive Healthcare Solution LLC
• 10,000 Lakes Healing & Wellness LLC
• 4 Counsel, P.a. (4Counsel)
• Aisha Abdi

• Home Health Agency in Maple Grove, MN
• Providers in Maple Grove, 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 Apr 21, 2010; 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.