Organization Active NPI

Intercommunity Home Health Care

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1164723201
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTERCOMMUNITY HOME HEALTH CARE
Practice address
2625 E Franklin Ave Ste LL2
Minneapolis, MN 55406-1195
Phone
(612) 435-0283
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Mrs. Kristi Moore
Title
Administrator
Phone
(612) 435-0283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2625 E Franklin Ave Ste LL2
Minneapolis, MN 55406-1195

Mailing address

2625 E Franklin Ave Ste LL2
Minneapolis, MN 55406-1195
Phone (612) 435-0283

Other identifiers 1

IdentifierTypeStateIssuer
A143132000MedicaidMN

National Provider Directory

National Provider Directory

Locations

2625 E Franklin Ave
Ste LL2
Minneapolis, MN 55406
Phone (612) 435-0283

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1164723201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E FRANKLIN AVE STE LL2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061195",
            "telephone_number": "612-435-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 E FRANKLIN AVE STE LL2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061195",
            "telephone_number": "612-435-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCOMMUNITY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-435-0283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A143132000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.