Organization Active NPI

Home and Community Choice LLC

  • Early Intervention Provider Agency
  • Eagan, MN
National Provider Identifier
1114707692
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
HOME AND COMMUNITY CHOICE LLC
Practice address
3435 Washington Dr Ste 206
Eagan, MN 55122-1339
Phone
(651) 888-0471
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Muse FarahNPI 1760848196
Title
Program Director
Phone
(651) 888-0471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

3435 Washington Dr Ste 206
Eagan, MN 55122-1339

Mailing address

3435 Washington Dr Ste 206
Eagan, MN 55122-1339

National Provider Directory

National Provider Directory

Locations

3435 Washington Dr
Ste 206
Eagan, MN 55122
Phone (612) 804-4463

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1114707692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 WASHINGTON DR STE 206",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 WASHINGTON DR STE 206",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221339",
            "telephone_number": "651-888-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AND COMMUNITY CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MUSE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "651-888-0471"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

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