NPIMap

Organization Active NPI

Sanford Home Health

  • Community Based Hospice Care Agency
  • Windom, MN
National Provider Identifier
1174712822
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SANFORD HOME HEALTH
Practice address
912 4TH Ave
Windom, MN 56101-1639
Phone
(507) 831-1017
NPI assigned
Oct 18, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Lois Schuller
Title
Director
Phone
(605) 328-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

912 4TH Ave
Windom, MN 56101-1639

Mailing address

2710 W 12TH St
Sioux Falls, SD 57104-3701
Phone (605) 328-4440

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

National Provider Directory

National Provider Directory
Tax ID family
Cobius Healthcare Solutions12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

912 4th Ave
Windom, MN 56101
Phone (507) 831-1017

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1174712822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 W 12TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571043701",
            "telephone_number": "605-328-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 4TH AVE",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011639",
            "telephone_number": "507-831-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "SCHULLER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-328-5903"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windom, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.