MEDICARE: TOLUWANI HEALTH CARE LLC

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1174475198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOLUWANI HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	4354 141ST LN NW
Second Line	:
City	:	ANDOVER
State	:	MN
Zip	:	55304-5667
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4354 141ST LN NW
Second Line	:
City	:	ANDOVER
State	:	MN
Zip	:	55304-5667
Country	:	US
Telephone Number	:	612-978-1025
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TEMI NWONYE
Credential	:
Telephone Number	:	612-978-1025

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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