Organization Active NPI

Healthmax Home Health Services LLC

  • Home Health Agency
  • Blaine, MN
National Provider Identifier
1023266806
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
340074 Issued in MN
Legal business name
HEALTHMAX HOME HEALTH SERVICES LLC
Practice address
2226 119TH Ave NE
Blaine, MN 55449
Phone
(612) 272-8118
Fax
(612) 435-6655
NPI assigned
Sep 4, 2008
Last updated
Jan 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Yosseph B Isaak, MANAGER
Title
Owner /President
Phone
(612) 272-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 340074 MN Primary

Addresses

Primary practice location

2226 119TH Ave NE
Blaine, MN 55449

Mailing address

2226 119TH Ave NE
Blaine, MN 55449-5440
Phone (612) 272-8118

Other identifiers 1

IdentifierTypeStateIssuer
A226963000OtherMNMHCP

Other names 1

  • PHILSAN PROFESSIONAL HOME HEALTHCARE AGENCY LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

9298 Central Ave NE
Ste 402
Blaine, MN 55434
Phone (612) 481-0603

2025 Nicollet Ave
Ste 205
Minneapolis, MN 55404
Phone (612) 636-3301

7362 University Ave NE
Ste 302
Minneapolis, MN 55432
Phone (612) 272-8118

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1023266806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 119TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495440",
            "telephone_number": "612-272-8118",
            "fax_number": "612-435-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 119TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55449",
            "telephone_number": "612-272-8118",
            "fax_number": "612-435-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMAX HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "ISAAK",
        "authorized_official_first_name": "YOSSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER /PRESIDENT",
        "authorized_official_telephone_number": "612-272-8118",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "340074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "A226963000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILSAN PROFESSIONAL HOME HEALTHCARE AGENCY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.