Organization Active NPI

Nagomi Inc.

  • Assisted Living Facility
  • Apple Valley, MN
National Provider Identifier
1821663170
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Ayodele AwoleyeNPI 1508690561
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)CodeLicenseStatePrimary
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 Doing business as
  • Maple Care Homes Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2206679Nagomi Inc8421 Upland Lane N, Maple Grove, MN 55311Certificate of waiverDec 21, 2026
24D2206818Nagomi Inc1209 E 131St St, Burnsville, MN 55337Certificate of waiverDec 21, 2026
24D2271749Maple Care Homes Apple Valley14424 Lower Guthrie CT, Apple Valley, MN 55124Certificate of waiverNov 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
Malpe Care Homes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.