Active NPI
Olidia Home Care Inc
- Home Health Registered Nurse
- Eden Prairie, MN
National Provider Identifier
1912879883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- OLIDIA HOME CARE INC
- Practice address
- 7530 Market Place Dr
Eden Prairie, MN 55344-3636 - Phone
- (612) 567-7780
- Fax
- (763) 634-5997
- NPI assigned
- Sep 20, 2025
- 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
- Olivier B Nkwonkam
- Title
- Ceo
- Phone
- (612) 567-7780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary |
Addresses
Primary practice location
7530 Market Place Dr
Eden Prairie, MN 55344-3636
Mailing address
7530 Market Place Dr
Eden Prairie, MN 55344-3636
Phone (612) 567-7780
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758326400000",
"number": "1912879883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 MARKET PLACE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443636",
"telephone_number": "612-567-7780",
"fax_number": "763-634-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 MARKET PLACE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443636",
"telephone_number": "612-567-7780",
"fax_number": "763-634-5997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIDIA HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-20",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A",
"authorized_official_last_name": "NKWONKAM",
"authorized_official_first_name": "OLIVIER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-567-7780"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.