Organization Active NPI

Stuck Holdings, Inc.

  • In Home Supportive Care Agency
  • Maple Grove, MN
National Provider Identifier
1124718614
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STUCK HOLDINGS, INC.
Doing business as
Home Instead #230
Practice address
9684 63Rd Ave N
Maple Grove, MN 55369-6200
Phone
(763) 544-5988
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Mr. John Matthew Stuck
Title
Franchise Owner
Phone
(763) 544-5988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9684 63Rd Ave N
Maple Grove, MN 55369-6200

Mailing address

3115 Golf Ter
Saint Cloud, MN 56301-9637
Phone (612) 850-9727

Other names 1

  • Home Instead #230 Doing business as

National Provider Directory

National Provider Directory

Locations

9684 63rd Ave N
Maple Grove, MN 55369
Phone (763) 544-5988

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1124718614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 GOLF TER",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019637",
            "telephone_number": "612-850-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9684 63RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696200",
            "telephone_number": "763-544-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUCK HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "STUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "763-544-5988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead #230",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.