Organization Active NPI

Back Porch Solutions LLC

  • Home Modifications Contractor
  • Maple Grove, MN
National Provider Identifier
1124875687
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
BACK PORCH SOLUTIONS LLC
Practice address
17831 76TH Ave N
Maple Grove, MN 55311-3784
Phone
(612) 695-5000
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Jennifer Bauernfeind
Title
Owner
Phone
(612) 695-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

17831 76TH Ave N
Maple Grove, MN 55311-3784

Mailing address

17831 76TH Ave N
Maple Grove, MN 55311-3784
Phone (612) 695-5000

Other names 2

  • Comfort Keepers Minneapolis Doing business as
  • TruBlue of Plymouth and Maple Grove Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1124875687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17831 76TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113784",
            "telephone_number": "612-695-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17831 76TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113784",
            "telephone_number": "612-695-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PORCH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BAUERNFEIND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-695-5000"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers Minneapolis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TruBlue of Plymouth and Maple Grove",
            "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 May 2, 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.