Home Care Plus LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1060451-1-AFC Issued in MN

Legal business name

HOME CARE PLUS LLC

Practice address

2435 136TH LN NW
Andover, MN 55304-3872

Phone

(612) 244-4611

NPI assigned

Dec 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Mokandu Omae

Title

Owner

Phone

(612) 244-4611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1154837920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 136TH LN NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043872",
            "telephone_number": "612-244-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 136TH LN NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043872",
            "telephone_number": "612-244-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "OMAE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MOKANDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-244-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1060451-1-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J. Hodgson, M.A., L.M.F.T.
• Jeffrey Ronald Hoffman, LPCC
• Amanda Christine Hohag, M.S.
• Jennifer Holdredge, M.A., L.M.F.T.
• Rochelle M Holste, MS, CCC-SLP
• Homestyle Builder, Inc,
• Lisa Ann Horner, APRN CNP
• Lisa Houska, OTR/L
• Lindsey Hove
• Gary Scott Howard, STUDENT/INTERN

• Foster Care Agency in Andover, MN
• Providers in Andover, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.