MEDICARE: VALORA CARE GROUP 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1386505634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALORA CARE GROUP LLC

Provider Business Mailing Address
First Line	:	6901 153RD ST W APT 306
Second Line	:
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-7213
Country	:	US
Telephone Number	:	952-393-3839
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 153RD ST W APT 306
Second Line	:
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-7213
Country	:	US
Telephone Number	:	952-393-3839
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IDIL MOHAMED JAMA
Credential	:
Telephone Number	:	952-393-3839

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	04/20/2026

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