Organization Active NPI

Nelson'S Country Care

  • Home Health Agency
  • Fergus Falls, MN
National Provider Identifier
1174720791
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 21, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.