Healthcare Provider Details

I. General information

NPI: 1588513972
Provider Name (Legal Business Name): INVICTUS HOME CARE SERVICE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 EDINBROK TERRACE NORTH
BROOKLYN PARK MN
55443
US

IV. Provider business mailing address

2701 EDINBROK TERRACE NORTH
BROOKLYN PARK MN
55443
US

V. Phone/Fax

Practice location:
  • Phone: 763-843-5074
  • Fax:
Mailing address:
  • Phone: 763-843-5074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ERNEST EJIKE ONYIA
Title or Position: ADMINISTRATOR
Credential:
Phone: 763-843-5074