Provider Demographics
NPI:1295285799
Name:NAOMI HOMECARE SERVICES
Entity type:Organization
Organization Name:NAOMI HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATU
Authorized Official - Middle Name:NAOMI
Authorized Official - Last Name:TOBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-655-1904
Mailing Address - Street 1:10255 GREENBRIER RD APT 201
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-3425
Mailing Address - Country:US
Mailing Address - Phone:612-655-1904
Mailing Address - Fax:
Practice Address - Street 1:10255 GREENBRIER RD APT 201
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-3425
Practice Address - Country:US
Practice Address - Phone:612-655-1904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health