Abdi Galgalo Gonjobe

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

347084 Issued in MN

Legal business name

ABDI GALGALO GONJOBE

Practice address

1312 Burke Cir E
Maplewood, MN 55109-3450

Phone

(651) 230-9300

Fax

(651) 739-1269

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Abdi Galgalo Gonjobe, M.D.

Title

President /Ceo

Phone

(651) 230-9300

Specialties & licenses 1

Addresses

Other names 1

• Metro Nursing Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1982935854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 BURKE CIR E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551093450",
            "telephone_number": "651-230-9300",
            "fax_number": "651-739-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 BURKE CIR E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551093450",
            "telephone_number": "651-230-9300",
            "fax_number": "651-739-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDI GALGALO GONJOBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "GONJOBE",
        "authorized_official_first_name": "ABDI",
        "authorized_official_middle_name": "GALGALO",
        "authorized_official_title_or_position": "PRESIDENT /CEO",
        "authorized_official_telephone_number": "651-230-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "347084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 5 Star Adult Day Center Inc
• A-Ride Transportation
• Aa Recovery Home Care Inc
• Adrienne Jo Aasand, CNP
• Hirie Muhe Abbajebel, RN
• Naimo Hassan Abdi
• Deborah L Abney Lidahl, MD
• About You Care Services (Aycs), Inc.
• Access Minnesota LLC
• Accessible Assisted Living

• Adult Care Home Facility in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.