Organization Active NPI

Fantum Home Health Care LLC

  • Home Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1922628825
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FANTUM HOME HEALTH CARE LLC
Practice address
8032 France Ave N
Brooklyn Park, MN 55443-2811
Phone
(612) 251-4521
Fax
(763) 432-3375
NPI assigned
Apr 21, 2020
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Mr. Olufemi O Isawumi
Title
Ceo
Phone
(612) 251-4521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

8032 France Ave N
Brooklyn Park, MN 55443-2811

Mailing address

3417 98TH Cir N
Brooklyn Park, MN 55443-1867
Phone (612) 251-4521

Other practice location 1

6600 Cloverdale Ave
Crystal, MN 55428-3536
Phone (612) 251-4521

Other practice location 2

9009 Loch Lomond Blvd
Brooklyn Park, MN 55443-3919
Phone (612) 251-4521

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
24D2227901Fantum Home Health Care LLC6600 Cloverdale Avenue, Crystal, MN 55428Certificate of waiverJun 17, 2027
24D2327271Fantum Home Health Care LLC8032 France Avenue N, Brooklyn Park, MN 55443Certificate of waiverJul 20, 2027
24D2336140Fantum Home Health Care LLC9009 Loch Lomond Blvd, Brooklyn Park, MN 55443Certificate of waiverDec 23, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1922628825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 98TH CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431867",
            "telephone_number": "612-251-4521",
            "fax_number": "763-432-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8032 FRANCE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432811",
            "telephone_number": "612-251-4521",
            "fax_number": "763-432-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 Cloverdale Ave",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554283536",
            "country_code": "US",
            "telephone_number": "612-251-4521",
            "fax_number": "763-432-3375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9009 Loch Lomond Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554433919",
            "country_code": "US",
            "telephone_number": "612-251-4521",
            "fax_number": "763-432-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FANTUM HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "ISAWUMI",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-251-4521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "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 16, 2026; 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.