Zachary Home Health Corporation

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

1034780-3-CFC Issued in MN

Legal business name

ZACHARY HOME HEALTH CORPORATION

Practice address

680 Summer LN
Eagan, MN 55123-3014

Phone

(651) 452-1834

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Victor A Bangura, RN

Title

President

Phone

(651) 452-8174

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1912199647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 SUMMER LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551233014",
            "telephone_number": "651-452-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 SUMMER LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551233014",
            "telephone_number": "651-452-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY HOME HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-452-8174",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MN",
            "license": "1034780-3-CFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruwedo Hassan Yusuf
• Sahro Mohamed Yusuf
• Salma G Yusuf
• Zakeria Bile Yusuf
• Z Spine and Joint Center, LLC
• Denise Eileen Zajac, LMFT
• Simon Zamani
• Karina Ivett Zamora, NP
• Shelley L Zaun, MD
• Meaghan Zegar, LPCC

• Pediatric Skilled Nursing Facility in Eagan, MN
• Providers in Eagan, MN by specialty
• Pediatric Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.