Imed Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IMED HOME CARE LLC

Practice address

4309 W Old Shakopee Rd
Bloomington, MN 55437-2952

Phone

(612) 730-4235

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Evans Moronge Mogaka

Title

Administrator

Phone

(612) 730-4235

Specialties & licenses 1

Addresses

Tax ID family

Imed Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imed Home Care LLC

  • Home Health Agency
  • Bloomington, MN
  • NPI 1609694926
  NPD tax ID

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1477283026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 150",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205698",
            "telephone_number": "612-730-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372952",
            "telephone_number": "612-730-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "MOGAKA",
        "authorized_official_first_name": "EVANS",
        "authorized_official_middle_name": "MORONGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-730-4235"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chioma Ikechuwu
• Ilbnc, P.a.
• Ahmed Ilmi
• Abdinasir Iman
• Joann Osasumwen Imasuen
• Imed Home Care LLC
• Impact Occupational Therapy & Consulting
• Inclusive Therapy Center LLC
• Independent Living Partners LLC
• Infinite Health Collaborative, PA

• Assisted Living Facility in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.