Active NPI
Nagomi Inc.
- Assisted Living Facility
- Apple Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NAGOMI INC.
- Practice address
- 14424 Lower Guthrie CT # 55124
Apple Valley, MN 55124-6744 - Phone
- (763) 607-8373
- Fax
- (763) 322-0322
- NPI assigned
- May 20, 2021
- 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
- Ayodele Awoleye
- Title
- Administrator
- Phone
- (763) 607-8373
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
14424 Lower Guthrie CT # 55124
Apple Valley, MN 55124-6744
Mailing address
14424 Lower Guthrie CT # 55124
Apple Valley, MN 55124-6744
Phone (763) 607-8373
Other practice location 1
8997 Montegue Ter
Brooklyn Park, MN 55443-3706
Phone (763) 607-8373
Other practice location 2
8421 Upland Ln N
Maple Grove, MN 55311-1526
Phone (763) 607-8373
Other practice location 3
1209 E 131st St
Burnsville, MN 55337-3951
Phone (763) 607-8373
Other names 2
- Malpe Care Homes
- Maple Care Homes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2206679 | Nagomi Inc | Certificate of waiver | Dec 21, 2026 |
| 24D2206818 | Nagomi Inc | Certificate of waiver | Dec 21, 2026 |
| 24D2271749 | Maple Care Homes Apple Valley | Certificate of waiver | Nov 7, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Malpe Care Homes
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Apple Valley, MN
- NPI 1073838363
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility
- Brooklyn Park, MN
- NPI 1508690561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726099200000",
"number": "1821663170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14424 LOWER GUTHRIE CT # 55124",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246744",
"telephone_number": "763-607-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14424 LOWER GUTHRIE CT # 55124",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246744",
"telephone_number": "763-607-8373",
"fax_number": "763-322-0322"
}
],
"practiceLocations": [
{
"address_1": "8997 Montegue Ter",
"address_purpose": "LOCATION",
"city": "Brooklyn Park",
"state": "MN",
"postal_code": "554433706",
"country_code": "US",
"telephone_number": "763-607-8373",
"fax_number": "763-322-0322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8421 Upland Ln N",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553111526",
"country_code": "US",
"telephone_number": "763-607-8373",
"fax_number": "763-322-0322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1209 E 131st St",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553373951",
"country_code": "US",
"telephone_number": "763-607-8373",
"fax_number": "763-322-0322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NAGOMI INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A",
"authorized_official_last_name": "AWOLEYE",
"authorized_official_first_name": "AYODELE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "763-607-8373"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Malpe Care Homes",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Maple Care Homes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.