Organization Active NPI

Stuartco

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1063798460
Registry record updated Oct 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STUARTCO
Doing business as
Shepard Park Home Care
Practice address
2235 Rockwood Ave
Saint Paul, MN 55116-3175
Phone
(651) 698-3954
Fax
(651) 698-4013
NPI assigned
Oct 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2011

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

Authorized official

Name
Lisa Moe
Title
Ceo
Phone
(952) 948-9500

Specialties & licenses 1

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

Addresses

Primary practice location

2235 Rockwood Ave
Saint Paul, MN 55116-3175

Mailing address

1000 W 80TH St
Minneapolis, MN 55420-1009
Phone (952) 948-9500

Other names 1

  • Shepard Park Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

1000 W 80th St
Minneapolis, MN 55420

NPI Registry JSON

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

{
    "created_epoch": "1319932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319932800000",
    "number": "1063798460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 80TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554201009",
            "telephone_number": "952-948-9500",
            "fax_number": "952-948-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 ROCKWOOD AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163175",
            "telephone_number": "651-698-3954",
            "fax_number": "651-698-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUARTCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-30",
        "last_updated": "2011-10-30",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-948-9500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepard Park Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2011; 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.