Active NPI
Teolak Home Care LLC
- Nursing Care Agency
- Woodbury, MN
National Provider Identifier
1659263432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.