=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033910229
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUSTED CARE PARTNERS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2025
-----------------------------------------------------
Last Update Date | 03/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8500 EDINBROOK PKWY STE GANDH
-----------------------------------------------------
City | BROOKLYN PARK
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55443-3720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 763-336-0284
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11537 20TH ST NE
-----------------------------------------------------
City | SAINT MICHAEL
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55376-8225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 763-336-0284
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MRS. GANIYAT OPEYEMI BADA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 763-336-0284
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------