Active NPI
Nelson'S Country Care
- Home Health Agency
- Fergus Falls, MN
National Provider Identifier
1174720791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NELSON'S COUNTRY CARE
- Practice address
- 22933 300TH St
Fergus Falls, MN 56537-7930 - Phone
- (218) 739-3896
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefan Nelson
- Title
- Owner
- Phone
- (218) 739-3896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
22933 300TH St
Fergus Falls, MN 56537-7930
Mailing address
22933 300TH St
Fergus Falls, MN 56537-7930
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190332800000",
"number": "1174720791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22933 300TH ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565377930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22933 300TH ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565377930",
"telephone_number": "218-739-3896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NELSON'S COUNTRY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2007-09-21",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "STEFAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-739-3896"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.