OVERCOMER HEALTHCARE SERVICE CORPORATION NPI 1134633704

NPI Information

NPI: 1134633704
Provider Name: OVERCOMER HEALTHCARE SERVICE CORPORATION
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

CLIA Number: 24D2202491

Address:
1238 BIRMINGHAM ST
SAINT PAUL, MN
ZIP 55106
Phone: (651) 500-6975
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OVERCOMER HEALTHCARE SERVICE CORPORATION is a home health registered nurse in Saint Paul, MN. OVERCOMER HEALTHCARE SERVICE CORPORATION NPI is 1134633704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1238 BIRMINGHAM ST
SAINT PAUL, MN
ZIP 55106-116
Phone: (651) 500-6975

The provider's authorized official is Olaniyi Odeku .
The authorized official title is Administrator and has the following contact phone number (651) 500-6975.

The CLIA number assigned to this NPI record is 24D2202491 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2017 and was last updated on 11/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	382067	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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