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Organization

BLOOMINGTON HOME CARE SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND OSIOBE (OWNER)
(651) 396-7159
Entity
Organization

Contact information

Practice address
10517 SHERIDAN AVE S, BLOOMINGTON, MN 55431-3461
(651) 396-7159
Mailing address
10517 SHERIDAN AVE S, BLOOMINGTON, MN 55431-3461
(651) 396-7159

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
332B00000X
Durable Medical Equipment & Medical Supplies
343900000X
Non-emergency Medical Transport (VAN)
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
385H00000X
Respite Care

Other

Enumeration date
07/16/2025
Last updated
07/16/2025
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