Organization Active NPI

Healtheast St. Joseph'S Hospital

  • Community Based Hospice Care Agency
  • Saint Paul, MN
National Provider Identifier
1114948833
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
330330 Issued in MN
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 HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
714555100MedicaidMN

Other names 1

  • HealthEast Hospice Doing business as

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

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.

Verify at the official NPI Registry.