Shekky Care Services Professional Corporation

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SHEKKY CARE SERVICES PROFESSIONAL CORPORATION

Practice address

1160 Chicago Ave
St Paul Park, MN 55071-1344

Phone

(651) 210-9638

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Olugbenga Olalelekan Banjo, DONPI 1558143065

Title

Ceo

Phone

(651) 210-9638

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olugbenga Olalekan Banjo

  • Assisted Living Facility
  • St Paul Park, MN
  • NPI 1558143065
  NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1700652880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 CHICAGO AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711344",
            "telephone_number": "651-210-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CHICAGO AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711344",
            "telephone_number": "651-210-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKKY CARE SERVICES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "BANJO",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "OLALELEKAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-210-9638",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in St Paul Park, MN
• Providers in St Paul Park, MN by specialty
• Assisted Living Facility (Mental Illness) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.