Promedical Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

335372 Issued in MN

Legal business name

PROMEDICAL HEALTH CARE

Practice address

1597 Knight St
Shoreview, MN 55126-4571

Phone

(612) 644-5764

Fax

(952) 841-6301

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kashif Alexander Garley

Title

Ceo

Phone

(612) 644-5764

Specialties & licenses 1

Addresses

Tax ID family

Promedical Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Total Freedom Health Care Services

  • Home Health Agency
  • Edina, MN
  • NPI 1306013206
  NPD tax ID

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114055464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 KNIGHT ST",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264571",
            "telephone_number": "612-644-5764",
            "fax_number": "952-841-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 KNIGHT ST",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264571",
            "telephone_number": "612-644-5764",
            "fax_number": "952-841-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARLEY",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-644-5764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "335372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Pinson
• Theresa Irene Plasencia, P.T.
• Preferred Chiropractic Associates Inc
• Proeyecare Associates PA
• Progressive Eyecare Associates
• Monica Marie Purdy, M.A., CCC-SLP
• Stephanie W Putzier, MD
• Gretchen Elizabeth Rachuy, DC
• Radiance Health Care LLC
• Cynthia Rae Rammpt, PT

• Home Health Agency in Shoreview, MN
• Providers in Shoreview, 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 Aug 22, 2020; 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.