Individual provider · Type 1 NPI
Idman Omar
Adult Care Home Facility · Lakeville, MN
NPI number
1992633903
Active
Practice location
5378 178th St W
Lakeville, MN 55044-5180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1992633903
Idman Omar's National Provider Identifier is 1992633903, issued on May 11, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lakeville, MN. The record was last updated on May 11, 2026.