Organization Active NPI

Accord

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1174670970
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACCORD
Doing business as
Accord
Practice address
1515 Energy Park Dr
Saint Paul, MN 55108-5229
Phone
(612) 362-4400
Fax
(612) 362-4479
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Robert Pickering
Title
Cfo
Phone
(612) 362-4420

Specialties & licenses 1

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

Addresses

Primary practice location

1515 Energy Park Dr
Saint Paul, MN 55108-5229

Mailing address

1515 Energy Park Dr
Saint Paul, MN 55108-5229
Phone (612) 362-4400

Other identifiers 1

IdentifierTypeStateIssuer
824255100MedicaidMN

Other names 2

  • Accord Doing business as
  • Community Involvement Programs Former legal business name

National Provider Directory

National Provider Directory

Locations

1600 Broadway St NE
Ste 1
Minneapolis, MN 55413
Phone (612) 362-4434

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1174670970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ENERGY PARK DR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085229",
            "telephone_number": "612-362-4400",
            "fax_number": "612-362-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 ENERGY PARK DR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085229",
            "telephone_number": "612-362-4400",
            "fax_number": "612-362-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-362-4420"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824255100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accord",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Involvement Programs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.