Organization Active NPI

Imed Home Care LLC

  • Home Health Agency
  • Bloomington, MN
National Provider Identifier
1609694926
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMED HOME CARE LLC
Practice address
4309 W Old Shakopee Rd
Bloomington, MN 55437-2952
Phone
(612) 730-4235
NPI assigned
Sep 26, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Evans Mogaka
Title
Administrator
Phone
(612) 730-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4309 W Old Shakopee Rd
Bloomington, MN 55437-2952

Mailing address

4309 W Old Shakopee Rd
Bloomington, MN 55437-2952
Phone (612) 730-4235

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1609694926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372952",
            "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": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "MOGAKA",
        "authorized_official_first_name": "EVANS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-730-4235"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.