Organization Active NPI

Credent Care LLC

  • Home Health Agency
  • Saint Cloud, MN
National Provider Identifier
1124979505
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CREDENT CARE LLC
Practice address
2719 W Division St Ste 9
Saint Cloud, MN 56301-3400
Phone
(320) 774-1061
NPI assigned
Feb 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Shirwa Adan
Title
Owner
Phone
(612) 987-9775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2719 W Division St Ste 9
Saint Cloud, MN 56301-3400

Mailing address

2719 W Division St Ste 9
Saint Cloud, MN 56301-3400
Phone (320) 774-1061

National Provider Directory

National Provider Directory
Tax ID family
Credent Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2719 W Division St
Ste 9
Saint Cloud, MN 56301
Phone (320) 291-5152

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1124979505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 W DIVISION ST STE 9",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013400",
            "telephone_number": "320-774-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 W DIVISION ST STE 9",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013400",
            "telephone_number": "320-774-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "ADAN",
        "authorized_official_first_name": "SHIRWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-987-9775"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.