Active NPI
Rest Easy at Home Health Care Agency, LLC
- Home Health Agency
- Stillwater, MN
National Provider Identifier
1144610403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30914
- Legal business name
- REST EASY AT HOME HEALTH CARE AGENCY, LLC
- Practice address
- 1825 Curve Crest Blvd W
200
Stillwater, MN 55082-5090 - Phone
- (651) 342-2478
- Fax
- (651) 342-0282
- NPI assigned
- Jan 26, 2015
- 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
- Wanda Fulton Hockenberger
- Title
- Owner
- Phone
- (651) 342-2478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30914 | MN | Primary |
Addresses
Primary practice location
1825 Curve Crest Blvd W
200
Stillwater, MN 55082-5090
Mailing address
1825 Curve Crest Blvd W
200
Stillwater, MN 55082-5090
Phone (651) 342-2478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548674039 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Rest Easy at Home Health Care Agency LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Stillwater, MN
- NPI 1548674039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1144610403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 CURVE CREST BLVD W",
"address_2": "200",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825090",
"telephone_number": "651-342-2478",
"fax_number": "651-342-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 CURVE CREST BLVD W",
"address_2": "200",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825090",
"telephone_number": "651-342-2478",
"fax_number": "651-342-0282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REST EASY AT HOME HEALTH CARE AGENCY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "HOCKENBERGER",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "FULTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-342-2478"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "30914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548674039",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.