Athanor Housing and Residential Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ATHANOR HOUSING AND RESIDENTIAL SERVICES INC

Practice address

266 Winifred St E
Saint Paul, MN 55107-2330

Phone

(651) 600-0701

Fax

(651) 705-7060

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Phineas Vang

Title

President

Phone

(651) 399-1224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1104532993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 WINIFRED ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072330",
            "telephone_number": "651-600-0701",
            "fax_number": "651-705-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 WINIFRED ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072330",
            "telephone_number": "651-600-0701",
            "fax_number": "651-705-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHANOR HOUSING AND RESIDENTIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "PHINEAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-399-1224"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.