Chrisland Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHRISLAND CARE LLC

Practice address

4857 124TH LN NE
Blaine, MN 55449-7302

Phone

(763) 227-3776

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Gboyega Ayoola Oyeyemi

Title

Owner/Manager

Phone

(763) 227-3776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1609601376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 124TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497302",
            "telephone_number": "763-227-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 124TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497302",
            "telephone_number": "763-227-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISLAND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "OYEYEMI",
        "authorized_official_first_name": "GBOYEGA",
        "authorized_official_middle_name": "AYOOLA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "763-227-3776"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.