Organization Active NPI

Rest Easy at Home Health Care Agency, LLC

  • Home Health Agency
  • Stillwater, MN
National Provider Identifier
1144610403
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30914 Issued in MN
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

Updated by the provider on Jan 26, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1548674039MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Rest Easy at Home Health Care Agency 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.

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.

Verify at the official NPI Registry.