Organization Active NPI

Damacare Health Services, LLC

  • Home Health Agency
  • Shakopee, MN
National Provider Identifier
1619168358
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DAMACARE HEALTH SERVICES, LLC
Practice address
1359 Knoll Dr
Shakopee, MN 55379-4624
Phone
(651) 354-6602
NPI assigned
Aug 7, 2007
Last updated
Nov 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Mr. David Makonde Ogato, MPH, MSN, CNPNPI 1932569035
Title
Director
Phone
(651) 354-6602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1359 Knoll Dr
Shakopee, MN 55379-4624

Mailing address

1359 Knoll Dr
Shakopee, MN 55379-4624
Phone (651) 354-6602

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1619168358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 KNOLL DR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794624",
            "telephone_number": "651-354-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 KNOLL DR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794624",
            "telephone_number": "651-354-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMACARE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "OGATO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MAKONDE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-354-6602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH, MSN, CNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.