NPIMap

Organization Active NPI

North Country Home Care II, Inc

  • Home Health Agency
  • Zimmerman, MN
National Provider Identifier
1174723746
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
203178700 Issued in MN
Legal business name
NORTH COUNTRY HOME CARE II, INC
Practice address
12567 5TH Ave N # 100
Zimmerman, MN 55398-8451
Phone
(763) 856-9955
Fax
(763) 856-9956
NPI assigned
Jul 23, 2007
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Jenna Totten
Title
President
Phone
(763) 856-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 203178700 MN Primary

Addresses

Primary practice location

12567 5TH Ave N # 100
Zimmerman, MN 55398-8451

Mailing address

12567 5TH Ave N # 100
Zimmerman, MN 55398-8451
Phone (763) 856-9955

National Provider Directory

National Provider Directory

Locations

12567 5th Ave N
Ste 100
Zimmerman, MN 55398
Phone (763) 856-9955

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1174723746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12567 5TH AVE N # 100",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553988451",
            "telephone_number": "763-856-9955",
            "fax_number": "763-856-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12567 5TH AVE N # 100",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553988451",
            "telephone_number": "763-856-9955",
            "fax_number": "763-856-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY HOME CARE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "TOTTEN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-856-9955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "203178700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zimmerman, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.