MEDICARE: ELIJAH JENKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1144185679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIJAH JENKINS

Provider Business Mailing Address
First Line	:	7924 N COLLEGE PARK DR
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55445-2461
Country	:	US
Telephone Number	:	612-223-9517
Fax Number	:

Provider Business Practice Location Address
First Line	:	7924 N COLLEGE PARK DR
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55445-2461
Country	:	US
Telephone Number	:	612-223-9517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

Similar Medicare Providers

1588959860 — DR. KASSYNI PANGDRA YANG DDS
Practice Location Address:

8511 JEFFERSON LN N
MINNEAPOLIS, MN
55445-2121

Practice Phone: 763-205-0526
Practice Fax:

1659986958 — JAYNE GARTHUS
Practice Location Address:

6900 78TH AVE N
MINNEAPOLIS, MN
55445-2719

Practice Phone: 218-391-3215
Practice Fax:

1982345690 — SIERRA TROST MD
Practice Location Address:

420 DELEWARE ST SE MMC 294
MINNEAPOLIS, MN
55445

Practice Phone: 612-873-3000
Practice Fax:

1578370458 — YOUR JOURNEY HOME CARE SOLUTIONS
Practice Location Address:

7416 78TH AVE N
MINNEAPOLIS, MN
55445-2755

Practice Phone: 763-442-9523
Practice Fax:

1962295766 — DR. ARTEM NIKULIN DDS
Practice Location Address:

8511 JEFFERSON LN N
MINNEAPOLIS, MN
55445-2121

Practice Phone: 763-205-0526
Practice Fax:

1538029483 — SUSAN YANG
Practice Location Address:

6800 78TH AVE N
MINNEAPOLIS, MN
55445-2758

Practice Phone: 651-314-0349
Practice Fax:

Directions to “ ELIJAH JENKINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.