Enock Homecare Assistance, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

339797 Issued in MN

Legal business name

ENOCK HOMECARE ASSISTANCE, LLC

Doing business as

Visiting Angels

Practice address

100 Fuller St S Ste 220
Shakopee, MN 55379-1354

Phone

(952) 233-5600

Fax

(952) 233-3226

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Namukulo Akakulu

Title

Chief Financial Officer

Phone

(952) 233-5600

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1093972440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FULLER ST S STE 220",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791354",
            "telephone_number": "952-233-5600",
            "fax_number": "952-233-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FULLER ST S STE 220",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791354",
            "telephone_number": "952-233-5600",
            "fax_number": "952-233-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOCK HOMECARE ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "AKAKULU",
        "authorized_official_first_name": "NAMUKULO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "952-233-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "339797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Eugene Elvecrog, D.D.S
• Mark Joseph Elvecrog, D.D.S
• Kay A. Ely, MS CCC SLP
• Teklu Endale
• Michael William England, D.D.S.
• Bonnie Jean Epple, RN
• Holly Erickson, FNP-BC
• Susan Lee Erickson, MD
• Eva Medtec, Inc
• Everbright Spectrum Services LLC

• Home Health Agency in Shakopee, MN
• Providers in Shakopee, 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 May 21, 2008; 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.