Provider Demographics
NPI:1083309751
Name:BIMSOL HOMECARE LLC
Entity Type:Organization
Organization Name:BIMSOL HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LALD
Authorized Official - Prefix:
Authorized Official - First Name:OLABIMPE
Authorized Official - Middle Name:TOSIN
Authorized Official - Last Name:ALADEDUNYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-245-1520
Mailing Address - Street 1:9418 UNITY LN N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-5706
Mailing Address - Country:US
Mailing Address - Phone:763-245-1520
Mailing Address - Fax:
Practice Address - Street 1:5542 UNITY AVE N
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429-3268
Practice Address - Country:US
Practice Address - Phone:763-245-1520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BISMOL HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility