New Age Health Group LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW AGE HEALTH GROUP LLC

Practice address

8525 Edinbrook Xing Ste 100
Brooklyn Park, MN 55443-1967

Phone

(763) 717-8497

Fax

(763) 575-8056

NPI assigned

Mar 18, 2020

Last updated

Apr 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abimbola Akinseye

Title

Owner

Phone

(763) 717-8497

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1740816107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 EDINBROOK XING STE 100",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431967",
            "telephone_number": "763-717-8497",
            "fax_number": "763-575-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 EDINBROOK XING STE 100",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431967",
            "telephone_number": "763-717-8497",
            "fax_number": "763-575-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "AKINSEYE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-717-8497"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.