Organization Active NPI

Esteem Nursing Care, Inc

  • Home Health Agency
  • Brooklyn Center, MN
National Provider Identifier
1659490753
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
331994 Issued in MN
Legal business name
ESTEEM NURSING CARE, INC
Practice address
3300 Bass Lake Road
Suite 108
Brooklyn Center, MN 55429-3072
Phone
(763) 503-2400
Fax
(763) 503-2401
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Emmanuel Okidegbe
Title
Program Administrator
Phone
(763) 503-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 331994 MN Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

3300 Bass Lake Road
Suite 108
Brooklyn Center, MN 55429-3072

Mailing address

3300 Bass Lake Road
Suite 108
Brooklyn Center, MN 55429-3072
Phone (763) 503-2400

Other identifiers 1

IdentifierTypeStateIssuer
399493MedicaidMN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1043434Esteem Nursing Care Inc3300 Bass Lake Road Suite 108, Brooklyn Center, MN 55429Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Locations

3300 County Road 10
Ste 108
Brooklyn Center, MN 55429
Phone (763) 503-2400

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1659490753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE ROAD",
            "address_2": "SUITE 108",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "763-503-2400",
            "fax_number": "763-503-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE ROAD",
            "address_2": "SUITE 108",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "763-503-2400",
            "fax_number": "763-503-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTEEM NURSING CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "OKIDEGBE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "763-503-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "331994",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399493",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.