Life Senior Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE SENIOR CARE INC.

Practice address

28347 112TH St NW
Zimmerman, MN 55398-4307

Phone

(763) 350-6369

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margery Ann Vetsch-Peterson, RNNPI 1962525626

Title

RN Care Manager

Phone

(763) 350-6369

Specialties & licenses 1

Addresses

Other names 1

• Life Senior Care PCPO Other name

Practitioners 3

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.

• Margery Ann Vetsch-Peterson, RN

  • Case Manager/Care Coordinator
  • Zimmerman, MN
  • NPI 1962525626
  NPD (past) Authorized official
• Rosemary Digiulio

  • Homemaker
  • Forest Lake, MN
  • NPI 1558681882
  NPD (past)
• Darlene Patterson

  • Homemaker
  • Forest Lake, MN
  • NPI 1740500073
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1073796322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 178TH LN NE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258351",
            "telephone_number": "651-464-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28347 112TH ST NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984307",
            "telephone_number": "763-350-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SENIOR CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "VETSCH-PETERSON",
        "authorized_official_first_name": "MARGERY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RN CARE MANAGER",
        "authorized_official_telephone_number": "763-350-6369",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Senior Care PCPO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Zimmerman, MN
• Providers in Zimmerman, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.