Nkoyo Nyong-Bassey & Funmilayo Okoya LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NKOYO NYONG-BASSEY & FUNMILAYO OKOYA LLC

Doing business as

Impact Home Care

Practice address

860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567

Phone

(952) 201-1220

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Nkoyo Nyong-Bassey

Title

Owner

Phone

(952) 201-1220

Specialties & licenses 1

Addresses

Other names 1

• Impact Home Care Doing business as

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1659916393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 MADISON ST NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212332",
            "telephone_number": "952-201-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BLUE GENTIAN RD STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211567",
            "telephone_number": "952-201-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKOYO NYONG-BASSEY & FUNMILAYO OKOYA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "NYONG-BASSEY",
        "authorized_official_first_name": "NKOYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-201-1220"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Nielsen, DPT
• Matthew Stephen Nies, MD
• Madison S Nightingale, LMT
• James Nissen
• Fadi Adnan Niyazi, M.D.
• Van Dyke Kofi Noah
• Cynthia Nobles, PHARM D
• Alana Chrisitie Noffsinger, M.A., LMFT
• Mary Anne Nolan, L.AC.
• Abdulkadir Abdiwahab Nor

• In Home Supportive Care Agency in Eagan, MN
• Providers in Eagan, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.