Patient Centered Home Care Services, LLC.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

384330 Issued in MN

Legal business name

PATIENT CENTERED HOME CARE SERVICES, LLC.

Practice address

4127 Sunset Ter N
Brooklyn Park, MN 55443

Phone

(763) 843-1014

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Prince Darjue

Title

RN

Phone

(763) 843-1014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1063901809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 SUNSET TER N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431262",
            "telephone_number": "763-843-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 SUNSET TER N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-843-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED HOME CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DARJUE",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "763-843-1014"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "384330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.