Organization Active NPI

Fame Healthcare LLC

  • In Home Supportive Care Agency
  • Minneapolis, MN
National Provider Identifier
1912629494
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAME HEALTHCARE LLC
Practice address
3524 Clinton Ave
Minneapolis, MN 55408-4548
Phone
(612) 229-2511
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Oluwakemi Moremi Daniel
Title
Owner
Phone
(612) 707-4858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3524 Clinton Ave
Minneapolis, MN 55408-4548

Mailing address

3524 Clinton Ave
Minneapolis, MN 55408-4548
Phone (612) 229-2511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1912629494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 CLINTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084548",
            "telephone_number": "612-229-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 CLINTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084548",
            "telephone_number": "612-229-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "MOREMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-707-4858"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.