Organization Active NPI

Alaafia Homecare LLC

  • Nursing Care Agency
  • Brooklyn Park, MN
National Provider Identifier
1770966632
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ALAAFIA HOMECARE LLC
Practice address
7420 Unity Ave N
Brooklyn Park, MN 55443-3143
Phone
(612) 229-0753
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Mr. Olaide Solomon Gabdamosi
Title
Ceo/President
Phone
(612) 229-0753

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

7420 Unity Ave N
Brooklyn Park, MN 55443-3143

Mailing address

7420 Unity Ave N
Brooklyn Park, MN 55443-3143
Phone (612) 229-0753

Other identifiers 1

IdentifierTypeStateIssuer
55665MedicaidMN

National Provider Directory

National Provider Directory

Locations

7420 Unity Ave N
Brooklyn Park, MN 55443
Phone (612) 229-0753

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1770966632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433143",
            "telephone_number": "612-229-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433143",
            "telephone_number": "612-229-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAAFIA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "GABDAMOSI",
        "authorized_official_first_name": "OLAIDE",
        "authorized_official_middle_name": "SOLOMON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "612-229-0753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55665",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.