OMOCARE LLC NPI 1508309451

NPI Information

  • NPI: 1508309451
  • Provider Name: OMOCARE LLC
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • CLIA Number: 24D2123415
  • Address: 3300 COUNTY ROAD 10 STE 200A
    BROOKLYN CENTER, MN
    ZIP 55429
  • Phone: (763) 607-4300

Map and Directions

Get Directions

NPI Details

OMOCARE LLC is a nursing care in Brooklyn Center, MN. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. OMOCARE LLC NPI is 1508309451. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3300 COUNTY ROAD 10 STE 200A
BROOKLYN CENTER, MN
ZIP 55429-065
Phone: (763) 607-4300
Fax: (612) 351-4259

The provider's authorized official is Raphael Omodunmiju .
The authorized official title is Administrator and has the following contact phone number (612) 298-2513.

The CLIA number assigned to this NPI record is 24D2123415 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2016 and was last updated on 7/21/2022.

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
1163W00000XRegistered Nurse379629MINNESOTANo
2251J00000XNursing Care379629MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132623OTHERMINNESOTAMINNESOTA STATE DEPARTMENT OF HEALTH

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI