Organization Active NPI

Lifewaycare Inc

  • Home Health Agency
  • Savage, MN
National Provider Identifier
1790426039
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFEWAYCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2026

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one
Part of
Lifewaycare Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.