Organization Active NPI

Caregivers Making a Difference

  • Home Health Agency
  • Andover, MN
National Provider Identifier
1184046963
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREGIVERS MAKING A DIFFERENCE
Practice address
1879 Station Pkwy NW
Andover, MN 55304-4880
Phone
(763) 205-4440
Fax
(763) 205-4403
NPI assigned
Jan 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Mr. Brian Michael McDonaldNPI 1477022317
Title
President
Phone
(763) 205-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X 363457 MN
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X
Respite Care 385H00000X

Addresses

Primary practice location

1879 Station Pkwy NW
Andover, MN 55304-4880

Mailing address

1879 Station Pkwy NW
Andover, MN 55304-4880
Phone (763) 205-4440

Other names 2

  • SYNERGY HomeCare NE Metro Doing business as
  • SYNERGY HomeCare Northeast Metro Doing business as

National Provider Directory

National Provider Directory

Locations

1879 Station Pkwy NW
Andover, MN 55304
Phone (763) 205-4440

9380 Central Ave NE
Ste 310
Blaine, MN 55434

9298 Central Ave NE
Ste 202
Blaine, MN 55434
Phone (763) 205-4440

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2234354Synergy Homecare Northeast Metro1879 Station Parkway NW, Andover, MN 55304Certificate of waiverAug 30, 2027

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1184046963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 STATION PKWY NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044880",
            "telephone_number": "763-205-4440",
            "fax_number": "763-205-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 STATION PKWY NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044880",
            "telephone_number": "763-205-4440",
            "fax_number": "763-205-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVERS MAKING A DIFFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-205-4440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "363457",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY HomeCare NE Metro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SYNERGY HomeCare Northeast Metro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.