Bangem Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

331175 Issued in MN

Legal business name

BANGEM INC

Doing business as

Bangem Home Health

Practice address

8593 Savanna Oaks LN
Woodbury, MN 55125-9611

Phone

(651) 501-3661

Fax

(651) 730-1664

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wilson Ndille Ekinde, REGISTERED NURSE

Title

Administrator

Phone

(651) 329-7272

Specialties & licenses 1

Addresses

Other names 1

• Bangem Home Health Doing business as

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972672871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8593 SAVANNA OAKS LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259611",
            "telephone_number": "651-501-3661",
            "fax_number": "651-730-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8593 SAVANNA OAKS LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259611",
            "telephone_number": "651-501-3661",
            "fax_number": "651-730-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EKINDE",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "NDILLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-329-7272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "331175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangem Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dustin D Balliet, DC
• Sara Balster, OTR/L
• Ryan Ban, M.D.
• Amy Bandt, CNM
• Serena Bangasser
• Charles Wesley Banks III
• David A Baram, MD
• Luciana Barbot
• Karen Villarente Barcelon, NP-C
• Nico Barden

• Home Health Agency in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.