BLOOMINGTON HOME CARE SC NPI 1366334138

NPI Information

  • NPI: 1366334138
  • Provider Name: BLOOMINGTON HOME CARE SC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 10517 SHERIDAN AVE S
    BLOOMINGTON, MN
    ZIP 55431
  • Phone: (651) 396-7159

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NPI Details

BLOOMINGTON HOME CARE SC is an assisted living facility in Bloomington, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BLOOMINGTON HOME CARE SC NPI is 1366334138. The provider is registered as an organization entity type.

The provider's business location address is:

10517 SHERIDAN AVE S
BLOOMINGTON, MN
ZIP 55431-461
Phone: (651) 396-7159

The provider's authorized official is Raymond Osiobe .
The authorized official title is Owner and has the following contact phone number (651) 396-7159.

The enumeration date for this NPI number is 7/16/2025 and was last updated on 7/16/2025.

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
1251E00000XHome HealthNo
2163WH0200XRegistered NurseHome HealthNo
3251J00000XNursing CareNo
43104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
53104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7343900000XNon-emergency Medical Transport (VAN)No
8374U00000XHome Health AideNo
9376J00000XHomemakerNo
10376K00000XNurse's AideNo
11385H00000XRespite CareNo
12310400000XAssisted Living FacilityYes

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: 11/21/2025

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