Provider Demographics
NPI:1821748674
Name:BIMSOL HOMECARE LLC
Entity Type:Organization
Organization Name:BIMSOL HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLABIMPE
Authorized Official - Middle Name:T
Authorized Official - Last Name:ALADEDUNYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-245-1520
Mailing Address - Street 1:2551 115TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-2987
Mailing Address - Country:US
Mailing Address - Phone:763-245-1520
Mailing Address - Fax:
Practice Address - Street 1:2551 115TH AVE NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-2987
Practice Address - Country:US
Practice Address - Phone:763-245-1520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty