Anchor House LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANCHOR HOUSE LLC

Practice address

6292 Century Blvd
Brooklyn Park, MN 55429-1031

Phone

(763) 432-5488

NPI assigned

Jan 8, 2022

Organization subpart

No

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

Authorized official

Name

Omotola Edison-Edebor

Title

Managing Member

Phone

(612) 229-1012

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: osagie@anchorhouse.com

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1134880461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 LAKELAND AVE N STE 101C",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293171",
            "telephone_number": "763-843-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6292 CENTURY BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291031",
            "telephone_number": "763-432-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "EDISON-EDEBOR",
        "authorized_official_first_name": "OMOTOLA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "612-229-1012"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A574462400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A427110300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A487497100",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Osagie@anchorhouse.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6292 Century Blvd",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Americans Home Health Care LLC
• Ami Transpotation Services LLC
• Amia Assisted Living LLC
• Omoaluse Memsoh Amoni, PHARM D
• Lois Adefunke Amusan, RN
• Kimberly Anderson, LICSW
• Shaun Anderson, PHARMD
• Angel Assist Care Services. LLC
• Angel Health Services LLC
• Angel Health Services LLC

• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.