John A Momoh

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

97694 Issued in MN

Practice address

7710 Brooklyn Blvd #109
Brooklyn Park, MN 55443-2966

Phone

(763) 566-0544

Fax

(763) 566-5577

NPI assigned

Dec 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hopecare Pca, Inc

  • Home Health Agency
  • Brooklyn Park, MN
  • NPI 1972757227
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1750565362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 BROOKLYN BLVD #109",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432966",
            "telephone_number": "763-566-0544",
            "fax_number": "763-566-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 BROOKLYN BLVD #109",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432966",
            "telephone_number": "763-566-0544",
            "fax_number": "763-566-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMOH",
        "first_name": "JOHN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": "97694",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "97694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismahan Ali Mohamed
• Mowafag Mohamed
• Nadhra Mohamed
• Sagal Mohamed
• Samira Mohamed
• Akwen Joan Morcho, RN
• Jenny True Moua
• Shue- Qa Moua
• Yang Mee Moua, PHARM D
• Fathia Moussa, CNP

• Personal Care Attendant in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Personal Care Attendant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.