Active NPI
Lifewaycare Inc
- Home Health Agency
- Savage, MN
National Provider Identifier
1790426039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFEWAYCARE INC
- Practice address
- 4730 W 129TH St
Savage, MN 55378-1514 - Phone
- (612) 293-8808
- Fax
- (612) 662-4175
- NPI assigned
- Apr 1, 2022
- Last updated
- May 6, 2026
- Organization subpart
- Yes
- Parent organization
- LIFEWAYCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel Ayodele Aguda
- Title
- Owner/President
- Phone
- (612) 366-9066
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Skilled Nursing Facility | 314000000X | NU |
Addresses
Primary practice location
4730 W 129TH St
Savage, MN 55378-1514
Mailing address
4730 W 129TH St
Savage, MN 55378-1514
Phone (612) 366-9066
Other practice location 1
1681 County Road C E
Maplewood, MN 55109-1193
Phone (612) 366-9066
National Provider Directory
National Provider Directory- Tax ID family
- Lifewaycare Inc
- Part of
- Lifewaycare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Maplewood, MN
- NPI 1154258028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1790426039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 W 129TH ST",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553781514",
"telephone_number": "612-366-9066",
"fax_number": "612-662-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 W 129TH ST",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553781514",
"telephone_number": "612-293-8808",
"fax_number": "612-662-4175"
}
],
"practiceLocations": [
{
"address_1": "1681 County Road C E",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MN",
"postal_code": "551091193",
"country_code": "US",
"telephone_number": "612-366-9066",
"fax_number": "612-662-4175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIFEWAYCARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFEWAYCARE INC",
"enumeration_date": "2022-04-01",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "AGUDA",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "AYODELE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "612-366-9066"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.