Spectrum Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPECTRUM HOME HEALTH CARE LLC

Practice address

110 2ND St S
Suite # 204
Waite Park, MN 56387-1662

Phone

(612) 423-5419

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Ayanle Ahmed Jama

Title

President/Adminstrator

Phone

(612) 423-5419

Specialties & licenses 1

Addresses

Tax ID family

Spectrum Home Health Care LLC2 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.

• Spectrum Home Health Care LLC

  • Home Health Agency
  • Saint Cloud, MN
  • NPI 1437530946
  NPD tax ID

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1114375987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "SUITE # 204",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "612-423-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "SUITE # 204",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "612-423-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "AYANLE",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT/ADMINSTRATOR",
        "authorized_official_telephone_number": "612-423-5419"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Solis
• Keisha N Sollie, DPT
• Alexis L Soltis
• Somway Services LLC
• Kathleen Marie Sowada, L.AC., R.N.
• Spina Bifida Health Care, LLC
• Taylor Spreeman
• St. Cloud Hospital (CentraCare Hospice)
• St. Cloud Hospital (CentraCare Home Health)
• St. Cloud Math and Science Academy

• Home Health Agency in Waite Park, MN
• Providers in Waite Park, 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 Jun 2, 2016; 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.