Active NPI
Esteem Nursing Care, Inc
- Home Health Agency
- Brooklyn Center, MN
National Provider Identifier
1659490753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 331994
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 399493 | Medicaid | MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1043434 | Esteem Nursing Care Inc | Certificate of waiver | Jul 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.