Omocare LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

379629 Issued in MN

Legal business name

OMOCARE LLC

Practice address

3300 County Road 10 Ste 200a
Brooklyn Center, MN 55429-3065

Phone

(763) 607-4300

Fax

(612) 351-4259

NPI assigned

Nov 27, 2016

Organization subpart

No

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

Authorized official

Name

Raphael Omodunmiju, RN

Title

Administrator

Phone

(612) 298-2513

Specialties & licenses 2

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508309451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 67TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554282212",
            "telephone_number": "762-607-4300",
            "fax_number": "612-351-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 200A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293065",
            "telephone_number": "763-607-4300",
            "fax_number": "612-351-4259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7708 67th Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554282212",
            "country_code": "US",
            "telephone_number": "612-562-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OMOCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OMODUNMIJU",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-298-2513",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "379629",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MN",
            "license": "379629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA STATE DEPARTMENT OF HEALTH",
            "identifier": "32623",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Marie Olson, LICSW
• Colin David Olson
• Spencer Olson, LP
• Muktar Shillow Omar, NP
• Omnihealing Therapeutic Services
• Adetomi Omotayo
• Sylvester A Onaiwu, REGISTERED NURSE
• Kyle P Onan, DO
• One Family One Community
• One Touch of Christ Evangelistic Ministries

• Nursing Care Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.