CBD Homecare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

355360 Issued in MN

Legal business name

CBD HOMECARE INC

Practice address

7509 Colorado Ave N
Brooklyn Park, MN 55443-2908

Phone

(763) 463-5799

NPI assigned

Feb 20, 2013

Organization subpart

Yes

Parent organization

CHOICES BY DESIGN LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rita Sharawn Williams

Title

Administrator

Phone

(763) 493-5067

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

CBD Homecare Inc2 organizations share this tax ID, including this one

Part of

Choices by Design LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CBD Homecare, Inc.

  • Home Health Agency
  • Maple Grove, MN
  • NPI 1952599193
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Choices by Design LLC

  • Home Health Agency
  • Maple Grove, MN
  • NPI 1235418641
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1013257534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 COUNTY ROAD 81",
            "address_2": "SUITE 222A",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 COLORADO AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432908",
            "telephone_number": "763-463-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBD HOMECARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICES BY DESIGN LLC",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "SHARAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-493-5067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "355360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952599193",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS A HOME CARE AGENCY",
            "identifier": "355360",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Jane Carlson, MSW, LICSW
• Lequilla Lash Own Carr-Manning
• Wendy L Carroll, PA-C
• Martrell Cornell Carter
• Pauline Cellette Casey, OTR/L
• Centerwell Certified Healthcare Corp.
• Certified Care Inc
• Certified Interpreters and Translators Inc.
• Champions Village II, LLC
• Lyn P. Chapman, M.D.

• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.