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ELIZJOSEPH HEALTHCARE LLC NPI 1598132086


NPI Information

NPI: 1598132086
Provider Name: ELIZJOSEPH HEALTHCARE LLC
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 24D2137298

Address:
6500 BROOKLYN BLVD SUITE 100
BROOKLYN CENTER, MN
ZIP 55429
Phone: (612) 501-4029
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ELIZJOSEPH HEALTHCARE LLC is a home health in Brooklyn Center, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. ELIZJOSEPH HEALTHCARE LLC NPI is 1598132086. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6500 BROOKLYN BLVD SUITE 100
BROOKLYN CENTER, MN
ZIP 55429-755
Phone: (612) 501-4029

The provider's authorized official is Damilola Agunbiade .
The authorized official title is Admin and has the following contact phone number (612) 886-9404.

The CLIA number assigned to this NPI record is 24D2137298 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2015 and was last updated on 11/14/2023.


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
1163WH0200XRegistered NurseHome HealthNo
2251E00000XHome HealthHFID 31880MINNESOTAYes

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: 5/5/2024

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