Organization Active NPI

Jamibran Home Health LLC

  • Home Health Agency
  • Brooklyn Center, MN
National Provider Identifier
1720716335
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JAMIBRAN HOME HEALTH LLC
Practice address
2818 Nash Rd
Brooklyn Center, MN 55430-2036
Phone
(763) 670-6072
Fax
(763) 432-6471
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Tom Eta Eyong, BSNNPI 1922768456
Title
Director
Phone
(763) 670-6072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2818 Nash Rd
Brooklyn Center, MN 55430-2036

Mailing address

2818 Nash Rd
Brooklyn Center, MN 55430-2036
Phone (763) 670-6072

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1720716335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 NASH RD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302036",
            "telephone_number": "763-670-6072",
            "fax_number": "763-432-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 NASH RD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302036",
            "telephone_number": "763-670-6072",
            "fax_number": "763-432-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIBRAN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "EYONG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "ETA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-670-6072",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 11, 2022; 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.