OMOCARE LLC
NPI 1508309451
Nursing Care in Brooklyn Center, MN

Q: What is Omocare LLC's NPI number?

The NPI number for Omocare LLC is 1508309451. It was assigned to this organization in the NPPES registry on November 27, 2016.

Q: What is Omocare LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Q: When was this NPI record last updated?

The NPPES record for Omocare LLC was last updated on July 21, 2022. 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.

Active since November 27, 2016CLIA 24D2123415 · Waiver

3300 COUNTY ROAD 10 STE 200A, BROOKLYN CENTER, MN 55429(763) 607-4300(612) 351-4259 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 28, 2017 and 2 more (5 updates tracked since 2016).

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About Omocare Llc NPPES

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

OMOCARE LLC (NPI 1508309451) is a healthcare organization registered as a nursing care in Brooklyn Center, Minnesota and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through December 19, 2026, maintains a secondary practice location in Brooklyn Park, and lists Raphael Omodunmiju, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508309451

Entity TypeOrganization

Primary Taxonomy251J00000X

Legal Business NameOMOCARE LLC

Location Address3300 COUNTY ROAD 10 STE 200ABrooklyn Center, MN 55429-3065

Mailing Address7708 67th Ave NBrooklyn Park, MN 55428-2212 · (762) 607-4300 · Fax (612) 351-4259

Phone(763) 607-4300

Fax(612) 351-4259

Organization SubpartNo

Authorized OfficialRaphael OmodunmijuAdministrator · (612) 298-2513

Enumeration DateNovember 27, 2016

Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration

✔ NPI 1508309451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies

Taxonomy Code251J00000X

License✔ Licensed in MN · 379629

Definition

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 379629 (MN)

3300 COUNTY ROAD 10 STE 200A, Brooklyn Center, MN 55429

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Secondary Practice Location 1

Location 17708 67th Ave NBrooklyn Park, MN 55428-2212 · Phone (612) 562-2750

Other Identifiers 1

Other32623MN · Minnesota State Department Of Health

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2123415

Omocare LLC · Brooklyn Park, MN

Active · expires Dec 19, 2026

CLIA Number24D2123415

Laboratory TypeHome Health Agency

Certificate Effective DateDecember 20, 2024

Certificate Expiration DateDecember 19, 2026

Laboratory DirectorRaphael T. Omodunmiju

Laboratory Phone(763) 607-4300

Laboratory LocationOmocare LLC7708 67th Ave North, Brooklyn Park, MN 55428

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

METROPOLITAN ADULT HEALTH SERVICES LLP

Case Management

3300 COUNTY ROAD 10 STE 200A
BROOKLYN CENTER, MN 55429

Hennepin County (763) 447-1063

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 Omocare LLC's NPI number?

The NPI number for Omocare LLC is 1508309451. It was assigned to this organization in the NPPES registry on November 27, 2016.

Where is Omocare LLC located?

Omocare LLC is located at 3300 County Road 10 Ste 200A, Brooklyn Center, MN 55429. The listed phone number is (763) 607-4300.

What is Omocare LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Omocare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2123415) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Omocare LLC was last updated on July 21, 2022. 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.