Active NPI
Stuck Holdings, Inc.
- In Home Supportive Care Agency
- Maple Grove, MN
National Provider Identifier
1124718614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Margot Elaine Storti-Marron, LICSW
- Ivan P Streif, D.D.S.
- Steven Clifford Strickland, MA
- Lindsey Marie Strom, OTD, OTR/L
- Tiffany Sandra Linda Stroman
- Suite Living Senior Care of Maple Grove
- Bryan Daniel Sullivan, D.C.
- Summit Advance Mobile Wound Care LLC
- Summit Orthopedics, LTD
- Jacob Jared Sundberg, D.C.
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.