Dominion Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DOMINION HEALTHCARE SERVICES LLC

Doing business as

Dominion Healthcare Services LLC

Practice address

6918 Grimes Ave N
Brooklyn Center, MN 55429-1450

Phone

(612) 258-8794

NPI assigned

Oct 2, 2019

Last updated

Jun 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yaria Isabella BanguraNPI 1235680836

Title

Administrator

Phone

(612) 812-4744

Specialties & licenses 1

Addresses

Other names 1

• Dominion Healthcare Services LLC Doing business as

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.

• Yaria Isabella Bangura

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1235680836
  NPD Authorized official

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1639710460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 GRIMES AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291450",
            "telephone_number": "612-258-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 GRIMES AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291450",
            "telephone_number": "612-258-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "YARIA",
        "authorized_official_middle_name": "ISABELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-812-4744"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dominion Healthcare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dominion Healthcare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.