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OMOTAYO BODUNWA
NPI 1629519947
Home Health Aide in Maple Grove, MN

Active since March 20, 2017
8430 YUCCA LN N, MAPLE GROVE, MN 55369(612) 481-8047 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omotayo Bodunwa NPPES

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

OMOTAYO BODUNWA (NPI 1629519947) is an individual home health aide in Maple Grove, Minnesota, licensed in Minnesota (R-215202-4) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1629519947
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameOMOTAYO BODUNWA
Location Address8430 YUCCA LN NMaple Grove, MN 55369-4671
Mailing Address8430 Yucca Ln NMaple Grove, MN 55369-4671 · (612) 481-8047
Phone(612) 481-8047
Sole ProprietorYes
Enumeration DateMarch 20, 2017
✔ NPI 1629519947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in MN · R-215202-4
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.
8430 YUCCA LN N, Maple Grove, MN 55369
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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 Omotayo Bodunwa's NPI number?

The NPI number for Omotayo Bodunwa is 1629519947. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Omotayo Bodunwa located?

Omotayo Bodunwa practices at 8430 Yucca Ln N, Maple Grove, MN 55369. The listed phone number is (612) 481-8047.

What is Omotayo Bodunwa'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 Omotayo Bodunwa was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.