Active NPI
St John Home Care
- Home Health Agency
- Minnetonka, MN
National Provider Identifier
1104120302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ST JOHN HOME CARE
- Practice address
- 1502 Archwood Rd
Minnetonka, MN 55305-2146 - Phone
- (612) 245-3474
- NPI assigned
- Jan 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mopelola J Akinloye
- Title
- Adminstrator
- Phone
- (612) 245-3474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1502 Archwood Rd
Minnetonka, MN 55305-2146
Mailing address
1502 Archwood Rd
Minnetonka, MN 55305-2146
Phone (612) 245-3474
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293926400000",
"number": "1104120302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 ARCHWOOD RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052146",
"telephone_number": "612-245-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 ARCHWOOD RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052146",
"telephone_number": "612-245-3474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOHN HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-02",
"last_updated": "2011-01-02",
"status": "A",
"authorized_official_last_name": "AKINLOYE",
"authorized_official_first_name": "MOPELOLA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "612-245-3474",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.