Organization Active NPI

Heart to Home Incorporated

  • Assisted Living Facility
  • Mendota Heights, MN
National Provider Identifier
1013373117
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
25755 Issued in MN
Legal business name
HEART TO HOME INCORPORATED
Practice address
2351 Pagel Rd
Mendota Heights, MN 55120-1638
Phone
(651) 994-2020
Fax
(651) 686-5295
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Joshua William Cesaro-Moxley
Title
Administrator
Phone
(651) 485-8738

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 25755 MN Primary
Alzheimer Center (Dementia Center) 311500000X 25755 MN

Addresses

Primary practice location

2351 Pagel Rd
Mendota Heights, MN 55120-1638

Mailing address

659 Freeway Rd S
Mendota Heights, MN 55118-4314
Phone (651) 485-8738

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2228533Heart to Home Incorporated2351 Pagel Road, Mendota Heights, MN 55120Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Heart to Home Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1013373117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 FREEWAY RD S",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551184314",
            "telephone_number": "651-485-8738",
            "fax_number": "651-686-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 PAGEL RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201638",
            "telephone_number": "651-994-2020",
            "fax_number": "651-686-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HOME INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "CESARO-MOXLEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-485-8738"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "25755",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MN",
            "license": "25755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.