Organization Active NPI

Dynamic Health Care

Doing business as Dynamic health

  • Home Health Agency
  • Roseville, MN
National Provider Identifier
1508425794
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DYNAMIC HEALTH CARE
Doing business as
Dynamic health
Practice address
2680 Western Ave N
Roseville, MN 55113-2345
Phone
(651) 759-8372
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Miss Ngozi Angela Okeke, RN
Title
Coo
Phone
(651) 270-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2680 Western Ave N
Roseville, MN 55113-2345

Mailing address

2680 Western Ave N
Roseville, MN 55113-2345

Other names 1

  • Dynamic health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508425794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 WESTERN AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 WESTERN AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132345",
            "telephone_number": "651-759-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "651-270-1946",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.