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FANTUM HOME HEALTH CARE LLC
NPI 1922628825
Home Health in Brooklyn Park, MN

Active since April 21, 2020CLIA Certified · 3 labs
8032 FRANCE AVE N, BROOKLYN PARK, MN 55443(612) 251-4521(763) 432-3375 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2026, Feb 3, 2022, Apr 21, 2020 (3 updates tracked since 2020).

About Fantum Home Health Care Llc NPPES

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

FANTUM HOME HEALTH CARE LLC (NPI 1922628825) is a healthcare organization registered as a home health in Brooklyn Park, Minnesota and active in the NPI registry since April 2020. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Olufemi O Isawumi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922628825
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFANTUM HOME HEALTH CARE LLC
Location Address8032 FRANCE AVE NBrooklyn Park, MN 55443-2811
Mailing Address3417 98th Cir NBrooklyn Park, MN 55443-1867 · (612) 251-4521 · Fax (763) 432-3375
Phone(612) 251-4521
Fax(763) 432-3375
Organization SubpartNo
Authorized OfficialOlufemi O IsawumiCeo · (612) 251-4521
Enumeration DateApril 21, 2020
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1922628825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
8032 FRANCE AVE N, Brooklyn Park, MN 55443
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Secondary Practice Locations 2

Location 16600 Cloverdale AveCrystal, MN 55428-3536 · Phone (612) 251-4521 · Fax (763) 432-3375
Location 29009 Loch Lomond BlvdBrooklyn Park, MN 55443-3919 · Phone (612) 251-4521 · Fax (763) 432-3375

CLIA Laboratory Certificates CMS CLIA 3

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 24D2336140

Fantum Home Health Care LLC · Brooklyn Park, MN
Active · expires Dec 23, 2027
CLIA Number24D2336140
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorOlufemi O. Isawumi
Laboratory Phone(612) 251-4521
Laboratory LocationFantum Home Health Care LLC9009 Loch Lomond Blvd, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2327271

Fantum Home Health Care LLC · Brooklyn Park, MN
Active · expires Jul 20, 2027
CLIA Number24D2327271
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorOlufemi O. Isawumi
Laboratory Phone(612) 251-4521
Laboratory LocationFantum Home Health Care LLC8032 France Avenue N, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2227901

Fantum Home Health Care LLC · Crystal, MN
Active · expires Jun 17, 2027
CLIA Number24D2227901
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorOlufemi O. Isawumi
Laboratory Phone(612) 251-4521
Laboratory LocationFantum Home Health Care LLC6600 Cloverdale Avenue, Crystal, MN 55428
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fantum Home Health Care LLC's NPI number?

The NPI number for Fantum Home Health Care LLC is 1922628825. It was assigned to this organization in the NPPES registry on April 21, 2020.

Where is Fantum Home Health Care LLC located?

Fantum Home Health Care LLC is located at 8032 France Ave N, Brooklyn Park, MN 55443. The listed phone number is (612) 251-4521.

What is Fantum Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Fantum Home Health Care LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fantum Home Health Care LLC was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.