Organization Active NPI

Metropolitan Care Inc.

  • Home Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1922364983
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
357257 Issued in MN
Legal business name
METROPOLITAN CARE INC.
Practice address
9613 Evergreen Ave N
Brooklyn Park, MN 55443-1567
Phone
(763) 425-0228
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Mr. Tibesso Midhassa Dayassa
Title
Administrator
Phone
(763) 425-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 357257 MN Primary

Addresses

Primary practice location

9613 Evergreen Ave N
Brooklyn Park, MN 55443-1567

Mailing address

9613 Evergreen Ave N
Brooklyn Park, MN 55443-1567
Phone (763) 425-0228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1922364983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 EVERGREEN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431567",
            "telephone_number": "763-425-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 EVERGREEN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431567",
            "telephone_number": "763-425-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "DAYASSA",
        "authorized_official_first_name": "TIBESSO",
        "authorized_official_middle_name": "MIDHASSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-425-0228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "357257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.