Organization Active NPI

Teolak Home Care LLC

  • Nursing Care Agency
  • Woodbury, MN
National Provider Identifier
1659263432
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
TEOLAK HOME CARE LLC
Doing business as
Teolak Home Care LLC
Practice address
4548 Bailey Lake Dr
Woodbury, MN 55129-5508
Phone
(612) 701-0375
Fax
(612) 701-0375
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Adeyemi Ayeni
Title
RN/Ceo
Phone
(612) 701-0375

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4548 Bailey Lake Dr
Woodbury, MN 55129-5508

Mailing address

4548 Bailey Lake Dr
Woodbury, MN 55129-5508
Phone (612) 701-0375

Other names 1

  • Teolak Home Care LLC 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": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1659263432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 BAILEY LAKE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551295508",
            "telephone_number": "612-701-0375",
            "fax_number": "612-701-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4548 BAILEY LAKE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551295508",
            "telephone_number": "612-701-0375",
            "fax_number": "612-701-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEOLAK HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_title_or_position": "RN/CEO",
        "authorized_official_telephone_number": "612-701-0375"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teolak Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.