ADETOMI OMOTAYO (NPI# 1386178507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386178507 |
| Entity Type | Individual |
| Full Name | ADETOMI OMOTAYO |
| Practice Address |
3300 County Road 10 300g Brooklyn Center MN 55429-3072 |
| Practice Telephone | 6124814636 |
| Mailing Telephone | 6124814636 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 211923-2 | MN | Nursing Service Providers |
| Street Address |
3300 COUNTY ROAD 10 300G |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55429-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487796280 | John P Mitchell | Social Worker | 3300 County Road 10, Suite 400, Brooklyn Center, MN 55429-3072 | 2007-02-12 |
| 1457862047 | Fastline Services | Non-emergency Medical Transport (VAN) | 3300 County Road 10, Brooklyn Center, MN 55429-3072 | 2017-10-23 |
| 1003340894 | Mn Best Home Care, LLC | Home Health | 3300 County Road 10, Suite 512l, Brooklyn Center, MN 55429-3072 | 2017-04-18 |
| 1114467719 | Joyful Home Health Care LLC | Home Health | 3300 County Road 10, 300g, Brooklyn Center, MN 55429-3072 | 2017-03-01 |
| 1578007969 | Cultivating Family Services, LLC | Marriage & Family Therapist | 3300 County Road 10, Suite 304i, Brooklyn Center, MN 55429-3072 | 2016-12-05 |
| 1063964286 | Maria Marino and Associates | Clinic/Center | 3300 County Road 10, Brooklyn Center, MN 55429-3072 | 2016-11-04 |
| 1336512797 | Pilgrim Home Care, LLC | Home Health | 3300 County Road 10, Suite 320m, Brooklyn Center, MN 55429-3072 | 2015-11-07 |
| 1326451659 | True Touch of Glory Home Health LLC | Skilled Nursing Facility | 3300 County Road 10, Ste 518c, Brooklyn Center, MN 55429-3072 | 2014-06-04 |
| 1407266836 | American Best Home Care Inc | Home Health Aide | 3300 County Road 10, Suite 320c, Brooklyn Center, MN 55429-3072 | 2014-05-07 |
| 1720406531 | Regal Home Care Services | Home Health | 3300 County Road 10, Suite 320g, Brooklyn Center, MN 55429-3072 | 2014-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245882547 | Aree Thompson | Registered Nurse | 5701 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2467 | 2019-07-16 |
| 1508309451 | Omocare LLC | Registered Nurse | 3300 County Road 10 Ste 200a, Brooklyn Center, MN 55429-3065 | 2016-11-27 |
| 1285940163 | Elijah Yarpah | Registered Nurse | 7107 Ewing Ave N, Brooklyn Center, MN 55429-1403 | 2010-08-30 |
| 1487869681 | Ngozi Florence Mbibi | Registered Nurse | 6051 Halifax Ave. N, Brooklyn Center, MN 55429 | 2007-05-11 |
| 1699903070 | Maurita Sue Lehman | Registered Nurse | 5801 Brooklyn Blvd, Brooklyn Center, MN 55429-2521 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870825 | Eyita Gaga | Registered Nurse | 848 2nd St Nw, Rochester, MN 55901-2773 | 2020-10-28 |
| 1841899150 | Sarah Nyandoro | Registered Nurse | 10635 Pond Curv, Woodbury, MN 55129-5810 | 2020-10-19 |
| 1679180988 | Louise Dybdahl | Registered Nurse | 1460 Montreal St Se, Hutchinson, MN 55350-3318 | 2020-09-30 |
| 1932716461 | Krista Ann Donabauer | Registered Nurse | 13620 302nd Ave Nw, Princeton, MN 55371-3728 | 2020-09-29 |
| 1427664721 | Casi Marie Short | Registered Nurse | 629 Eastgate Pkwy, Mahtomedi, MN 55115-1737 | 2020-09-22 |
| 1518572908 | Shannon Walsten | Registered Nurse | 216 Emory Ln Se, Rochester, MN 55904-8479 | 2020-09-11 |
| 1427663970 | Sheena Marie Fawn Buchholtz | Registered Nurse | 14962 Hillside Trl, Savage, MN 55378-3629 | 2020-09-11 |
| 1700490679 | Sophia Alexandra Erdahl | Registered Nurse | 15380 Cottonwood St Nw, Andover, MN 55304-8503 | 2020-09-08 |
| 1083228076 | Briann Minnig | Registered Nurse | 8116 158th St, Savage, MN 55378-6608 | 2020-09-07 |
| 1104430180 | Patience K Nixon | Registered Nurse | 1955 153rd Ln Nw, Andover, MN 55304-2591 | 2020-09-07 |
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| City | BROOKLYN CENTER |
| Zip Code | 55429 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.