OMOCARE LLC
NPI 1508309451
Nursing Care in Brooklyn Center, MN
NPI Status: Active since November 27, 2016
Contact Information
3300 COUNTY ROAD 10 STE 200A
BROOKLYN CENTER, MN
ZIP 55429
Phone: (763) 607-4300
Fax: (612) 351-4259
- Organization
- Nursing Care
- CLIA Number: 24D2123415
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 12-19-2026
About OMOCARE LLC
This page provides the complete NPI Profile along with additional information for Omocare Llc, a provider established in Brooklyn Center, Minnesota operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1508309451 assigned on November 2016. The practitioner's primary taxonomy code is 251J00000X with license number 379629 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Raphael Omodunmiju Rn (Administrator)
- NPI
- 1508309451
- Provider Name
- OMOCARE LLC
- Entity Type
- Organization
- Location Address
- 3300 COUNTY ROAD 10 STE 200A BROOKLYN CENTER, MN 55429
- Location Phone
- (763) 607-4300
- Location Fax
- (612) 351-4259
- Mailing Address
- 7708 67TH AVE N BROOKLYN PARK, MN 55428
- Mailing Phone
- (762) 607-4300
- Mailing Fax
- (612) 351-4259
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-27-2016
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 7708 67th Ave N
Brooklyn Park, MN 55428
(612) 562-2750
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
- License No.
- 379629
- License State
- MN
- 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) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 379629 (MN) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32623 | OTHER (01) | MN | MINNESOTA STATE DEPARTMENT OF HEALTH |
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
- 24D2123415
- Facility Type
- Home Health Agency
- Certificate Effective Date
- December 20, 2024
- Certificate Expiration Date
- December 19, 2026
- Laboratory Director
- RAPHAEL T. OMODUNMIJU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Omocare Llc 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 1508309451, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BROOKLYN CENTER, MN 55429
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508309451, enumerated as an "organization" on November 27, 2016.
The provider is located at 3300 COUNTY ROAD 10 STE 200A BROOKLYN CENTER, MN 55429 and the phone number is (763) 607-4300.
Nursing Care with taxonomy code 251J00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
