Active NPI
Healtheast St. Joseph'S Hospital
- Community Based Hospice Care Agency
- Saint Paul, MN
National Provider Identifier
1114948833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 330330
- Legal business name
- HEALTHEAST ST. JOSEPH'S HOSPITAL
- Practice address
- 45 10TH Street West
Saint Paul, MN 55102-1004 - Phone
- (651) 232-3312
- Fax
- (651) 232-3494
- NPI assigned
- Jul 21, 2006
- Organization subpart
- Yes
- Parent organization
- HEALTHEAST ST. JOSEPH'S HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doug Davenport
- Title
- Cfo
- Phone
- (651) 232-2250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 330330 | MN | Primary |
Addresses
Primary practice location
45 10TH Street West
Saint Paul, MN 55102-1004
Mailing address
45 10TH Street West
Saint Paul, MN 55102-1004
Phone (651) 232-3312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 714555100 | Medicaid | MN |
Other names 1
- HealthEast Hospice
National Provider Directory
National Provider Directory- Part of
- Healtheast Immediate Ca
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432166400000",
"number": "1114948833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 10TH STREET WEST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021004",
"telephone_number": "651-232-3312",
"fax_number": "651-232-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 10TH STREET WEST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021004",
"telephone_number": "651-232-3312",
"fax_number": "651-232-3494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHEAST ST. JOSEPH'S HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTHEAST ST. JOSEPH'S HOSPITAL",
"enumeration_date": "2006-07-21",
"last_updated": "2015-05-21",
"status": "A",
"authorized_official_last_name": "DAVENPORT",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "651-232-2250"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MN",
"license": "330330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "714555100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthEast Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
- Healtheast St Josephs Hospital
- Healtheast St Josephs Hospital
- Healtheast St Josephs Hospital
- Healtheast St. John'S Hospital
- Healtheast St. John'S Hospital
- Healthpartners, Inc.
- Healthpoint Services LLC
- Healthquest Sports Injury and Chiropractic Center
- Healthsource of St Paul
- Healthsource of St. Paul- Grand
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.