NPIMap

Organization Active NPI

Villa Home Care LLC

  • Home Health Agency
  • Cromwell, MN
National Provider Identifier
1154601003
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
352691 Issued in MN
Legal business name
VILLA HOME CARE LLC
Practice address
1220 Villa Court Dr
Cromwell, MN 55726-4503
Phone
(218) 644-3331
Fax
(218) 644-3505
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Ms. Julie R Peterson
Title
Administrator
Phone
(218) 644-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 352691 MN Primary

Addresses

Primary practice location

1220 Villa Court Dr
Cromwell, MN 55726-4503

Mailing address

1220 Villa Court Drive
Cromwell, MN 55726
Phone (218) 644-3331

Other identifiers 1

IdentifierTypeStateIssuer
352691OtherMNMINNESOTA DEPARTMENT OF HEALTH CLASS A HOME CARE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1154601003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 VILLA COURT DRIVE",
            "city": "CROMWELL",
            "state": "MN",
            "postal_code": "55726",
            "telephone_number": "218-644-3331",
            "fax_number": "218-644-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 VILLA COURT DR",
            "city": "CROMWELL",
            "state": "MN",
            "postal_code": "557264503",
            "telephone_number": "218-644-3331",
            "fax_number": "218-644-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-644-3331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "352691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF HEALTH CLASS A HOME CARE LICENSE",
            "identifier": "352691",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.