River City Trail D/B/a Caring Matters Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

371615 Issued in MN

Legal business name

RIVER CITY TRAIL D/B/A CARING MATTERS HOME CARE

Practice address

10040 Union Terrace LN N
Maple Grove, MN 55369-3441

Phone

(763) 445-9199

NPI assigned

Feb 3, 2015

Last updated

Feb 3, 2015By 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

Mr. Damien Dezurik

Title

Ceo

Phone

(763) 445-9199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1104216837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 UNION TERRACE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693441",
            "telephone_number": "763-445-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 UNION TERRACE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693441",
            "telephone_number": "763-445-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY TRAIL D/B/A CARING MATTERS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "DEZURIK",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-445-9199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "371615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.