Act Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ACT CARE LLC

Practice address

12751 County Road 5 Ste 105
Burnsville, MN 55337-2263

Phone

(952) 855-3937

NPI assigned

May 25, 2024

Organization subpart

No

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

Authorized official

Name

Nastexo Awil

Title

Ceo

Phone

(952) 855-3937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1013757392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 COUNTY ROAD 5 STE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 COUNTY ROAD 5 STE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372263",
            "telephone_number": "952-855-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "AWIL",
        "authorized_official_first_name": "NASTEXO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-855-3937"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.