Provider Demographics
NPI:1407266836
Name:AMERICAN BEST HOME CARE, INC.
Entity Type:Organization
Organization Name:AMERICAN BEST HOME CARE, INC.
Other - Org Name:AMERICAN BEST HOME CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEGUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLATAYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-919-9523
Mailing Address - Street 1:3300 COUNTY ROAD 10
Mailing Address - Street 2:SUITE 320C
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429
Mailing Address - Country:US
Mailing Address - Phone:763-432-7356
Mailing Address - Fax:763-432-6856
Practice Address - Street 1:3501 63RD AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-2210
Practice Address - Country:US
Practice Address - Phone:763-432-7356
Practice Address - Fax:763-432-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1073629-1-HCBS374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA126987100Medicaid
MN1518308725Medicaid