Up North Angels LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UP NORTH ANGELS LLC

Practice address

28276 149TH Ave
Sebeka, MN 56477-3002

Phone

(320) 905-3662

Fax

(218) 414-2722

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Oevermann

Title

Owner

Phone

(888) 368-5788

Specialties & licenses 3

Addresses

Other names 1

• Up North Angels Doing business as

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1093463952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28276 149TH AVE",
            "city": "SEBEKA",
            "state": "MN",
            "postal_code": "564773002",
            "telephone_number": "320-905-3662",
            "fax_number": "218-414-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28276 149TH AVE",
            "city": "SEBEKA",
            "state": "MN",
            "postal_code": "564773002",
            "telephone_number": "320-905-3662",
            "fax_number": "218-414-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "OEVERMANN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-368-5788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Up North Angels",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Up North Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Estabrooks
• Alyssa Jane Jackson
• Linda Ann Knudson
• Madison Jo Lake
• Providence Villa
• Up North Angels LLC
• Wadena County
• Monica Watson, LICSW

• Home Health Agency in Sebeka, MN
• Providers in Sebeka, 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 Feb 11, 2025; 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.