Active NPI
Community-Connect Home Care LLC
- Home Health Agency
- Bloomington, MN
National Provider Identifier
1063365922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMMUNITY-CONNECT HOME CARE LLC
- Practice address
- 3001 Metro Dr Ste 260
Bloomington, MN 55425-1548 - Phone
- (952) 324-5713
- Fax
- (952) 378-2860
- NPI assigned
- Feb 19, 2026
- 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
- Dr. Nevil Genjang, PHARMD
- Title
- Onner/Ceo
- Phone
- (240) 486-4147
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3001 Metro Dr Ste 260
Bloomington, MN 55425-1548
Mailing address
17891 Elder Ave
Lakeville, MN 55044-4984
Phone (952) 324-5713
National Provider Directory
National Provider Directory- Tax ID family
- Community-Connect Home Care LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chemical Pathology Physician
- Bloomington, MN
- NPI 1154252054
-
- Home Health Agency
- Bloomington, MN
- NPI 1316744196
-
- Non-emergency Medical Transport (VAN)
- Bloomington, MN
- NPI 1730072455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bloomington, MN
- NPI 1235915968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1063365922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17891 ELDER AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444984",
"telephone_number": "952-324-5713",
"fax_number": "952-378-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 METRO DR STE 260",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251548",
"telephone_number": "952-324-5713",
"fax_number": "952-378-2860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY-CONNECT HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-19",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "GENJANG",
"authorized_official_first_name": "NEVIL",
"authorized_official_title_or_position": "ONNER/CEO",
"authorized_official_telephone_number": "240-486-4147",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.