MR. TONY EHIMARE OMOAREBUN JR.
NPI 1205590726
Home Health Aide in Woodbury, MN

Active since October 30, 2021
11460 RIVERSTONE TRL, WOODBURY, MN 55129(651) 353-4902 Get Directions Write a Review

NPPES record last updated: October 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tony Ehimare Omoarebun Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TONY EHIMARE OMOAREBUN JR. (NPI 1205590726) is an individual home health aide in Woodbury, Minnesota and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1205590726
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameMR. TONY EHIMARE OMOAREBUN JR.
Location Address11460 RIVERSTONE TRLWoodbury, MN 55129-3002
Mailing Address11460 Riverstone TrlWoodbury, MN 55129-3002 · (651) 353-4902
Sole ProprietorYes
Enumeration DateOctober 30, 2021
NPPES CertifiedOctober 30, 2021
NPI 1205590726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
11460 RIVERSTONE TRL, Woodbury, MN 55129

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tony Omoarebun's NPI number?

The NPI number for Tony Omoarebun is 1205590726. It was assigned to this individual provider in the NPPES registry on October 30, 2021.

Where is Tony Omoarebun located?

Tony Omoarebun practices at 11460 Riverstone Trl, Woodbury, MN 55129. The listed phone number is (651) 353-4902.

What is Tony Omoarebun's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Tony Omoarebun was last updated on October 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.