SECURED HEALTH AND HOMECARE INC
NPI 1326651779
Nursing Care in Brooklyn Park, MN

NPI Status: Active since August 26, 2020

Contact Information

4519 104TH AVE N
BROOKLYN PARK, MN
ZIP 55443
Phone: (763) 438-8869

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  • Organization
  • Nursing Care
  • CLIA Number: 24D2220653
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 04-13-2027

About SECURED HEALTH AND HOMECARE INC

This page provides the complete NPI Profile along with additional information for Secured Health And Homecare Inc, a provider established in Brooklyn Park, Minnesota operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1326651779 assigned on August 2020. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Secured Health And Homecare Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Abiola Ijadimbola (Admin Director)

NPI
1326651779
Provider Name
SECURED HEALTH AND HOMECARE INC
Entity Type
Organization
Location Address
4519 104TH AVE N BROOKLYN PARK, MN 55443
Location Phone
(763) 438-8869
Mailing Address
4519 104TH AVE N BROOKLYN PARK, MN 55443
Mailing Phone
(763) 438-8869
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-26-2020
Last Update Date
07-20-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

 
2163WA2000XNursing Service Providers

Registered Nurse
Administrator

 
3163WH0200XNursing Service Providers

Registered Nurse
Home Health

 
4251B00000XAgencies

Case Management

 
5251E00000XAgencies

Home Health

 
6253Z00000XAgencies

In Home Supportive Care

 
7310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 
8313M00000XNursing & Custodial Care Facilities

Nursing Facility/Intermediate Care Facility

 
9343800000XTransportation Services

Secured Medical Transport (VAN)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ABIOLA IJADIMBOLA

Authorized Official Title
ADMIN DIRECTOR
Authorized Official Phone
(763) 438-8869

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2220653
Facility Type
Home Health Agency
Certificate Effective Date
April 14, 2025
Certificate Expiration Date
April 13, 2027
Laboratory Director
ABIOLA O. IJADIMBOLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Secured Health And Homecare Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326651779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 1 + 2 + 5 + 2 + 7 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1326651779.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326651779, enumerated as an "organization" on August 26, 2020.

The provider is located at 4519 104TH AVE N BROOKLYN PARK, MN 55443 and the phone number is (763) 438-8869.

Nursing Care with taxonomy code 251J00000X.