Active NPI
Home Care Professionals, Inc
- Assisted Living Facility
- Golden Valley, MN
National Provider Identifier
1003281973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 375331
- Legal business name
- HOME CARE PROFESSIONALS, INC
- Practice address
- 800 Boone Ave N
Golden Valley, MN 55427-4468 - Phone
- (763) 233-7564
- Fax
- (763) 417-9999
- NPI assigned
- Dec 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Alan Lecy
- Title
- Director of Operations
- Phone
- (763) 233-7565
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 375331 | MN | Primary |
| Assisted Living Facility | 310400000X | 375339 | MN |
Addresses
Primary practice location
800 Boone Ave N
Golden Valley, MN 55427-4468
Mailing address
800 Boone Ave N
Golden Valley, MN 55427-4468
Phone (763) 233-7564
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375331 | Other | MN | MINNESOTA DEPARTMENT OF HEALTH - TEMPORARY COPMPREHENSIVE HOME CARE |
| 375339 | Other | MN | MINNESOTA DEPARTMENT OF HEALTH - TEMPORARY COPMPREHENSIVE HOME CARE |
Other names 1
- Elmore Assisted living
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449100800000",
"number": "1003281973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BOONE AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274468",
"telephone_number": "763-233-7564",
"fax_number": "763-417-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BOONE AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274468",
"telephone_number": "763-233-7564",
"fax_number": "763-417-9999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME CARE PROFESSIONALS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A",
"authorized_official_last_name": "LECY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "763-233-7565",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "375331",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "375339",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA DEPARTMENT OF HEALTH - TEMPORARY COPMPREHENSIVE HOME CARE",
"identifier": "375331",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA DEPARTMENT OF HEALTH - TEMPORARY COPMPREHENSIVE HOME CARE",
"identifier": "375339",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elmore Assisted living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.