Active NPI
Alaafia Homecare LLC
- Nursing Care Agency
- Brooklyn Park, MN
National Provider Identifier
1770966632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55665 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.