NPI 1114666559
Organization Active NPI Home Health Agency · Champlin, MN
NPI 1114666559 · NPPES record last updated Jun 2, 2022
Key facts
- NPI
- 1114666559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 10907 Xylon LN N
Champlin, MN 55316-3712 - Phone
- (763) 250-3079
- NPI assigned
- Jun 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Nehemiah Otto Garley
- Title
- Director
- Phone
- (763) 250-3079
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
10907 Xylon LN N
Champlin, MN 55316-3712
Mailing address
10907 Xylon LN N
Champlin, MN 55316-3712
Phone (763) 250-3079
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01291977 | Other | MN | PCA |
| 01291977 | Medicaid | MN |
Other names
- The Garson Group
Other providers in Champlin, MN
- Kaye Ann Marie Abel
- Achieve Health Clinic of Chiropractic
- Anne Adix
- Advanced Wellness & Sports Rehab PA
- Aegis Group Practice LLC
All providers in Champlin, MN · Home Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.