Active NPI
Big Brothers Home Health Care, LLC
- Home Health Agency
- Roseville, MN
National Provider Identifier
1104125251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BIG BROTHERS HOME HEALTH CARE, LLC
- Practice address
- 2499 Rice St
Suite 132
Roseville, MN 55113-3724 - Phone
- (651) 494-9058
- Fax
- (651) 494-6680
- NPI assigned
- Mar 15, 2011
- Last updated
- Mar 15, 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
- Pou Ly
- Title
- Ceo
- Phone
- (651) 494-9058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2499 Rice St
Suite 132
Roseville, MN 55113-3724
Mailing address
2499 Rice St
Suite 132
Roseville, MN 55113-3724
Phone (651) 494-9058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A889678000 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
2499 Rice St
Ste 132
Roseville, MN 55113
Phone (651) 494-9058
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1295034361
-
- Registered Nurse
- Roseville, MN
- NPI 1265731319
-
- Registered Nurse
- Roseville, MN
- NPI 1275832347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1104125251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 RICE ST",
"address_2": "SUITE 132",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133724",
"telephone_number": "651-494-9058",
"fax_number": "651-494-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 RICE ST",
"address_2": "SUITE 132",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133724",
"telephone_number": "651-494-9058",
"fax_number": "651-494-6680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG BROTHERS HOME HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-15",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "LY",
"authorized_official_first_name": "POU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-494-9058"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A889678000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
- Bestview Care Options
- Better Spine Health 360 (Minnesota Spine Institute)
- Bhim Adhikari (Bhutanese Home Health Care Services)
- Susan L Bickmore, PHARM.D.
- Olivia Clare Bien
- Aaron Binstock, M.D.
- Bio-Medical Applications of Minnesota, Inc. (Roseville Dialysis Center)
- Bio-Medical Applications of Minnesota, Inc. (Fresenius Kidney Care New Brighton)
- Nicholas Daniel Biondich, PT
- Kifaya Bishop, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.