Organization Active NPI

Accukare Inc

  • Skilled Nursing Facility
  • Andover, MN
National Provider Identifier
1164698270
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
338084 Issued in MN
Legal business name
ACCUKARE INC
Practice address
13750 Crosstown Dr Ste 202
Andover, MN 55304
Phone
(763) 862-3971
Fax
(763) 862-2135
NPI assigned
May 8, 2008
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Mrs. Karla Adams, RN
Title
Owner
Phone
(763) 862-3971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 338084 MN Primary

Addresses

Primary practice location

13750 Crosstown Dr Ste 202
Andover, MN 55304

Mailing address

1061 Woody LN NW
Coon Rapids, MN 55448-3218
Phone (763) 862-3971

Other identifiers 1

IdentifierTypeStateIssuer
1629009030MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Accukare Inc2 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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1164698270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 WOODY LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554483218",
            "telephone_number": "763-862-3971",
            "fax_number": "763-862-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 CROSSTOWN DR STE 202",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "55304",
            "telephone_number": "763-862-3971",
            "fax_number": "763-862-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUKARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-862-3971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "338084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629009030",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.