Active NPI
City Home Healthcare LLC
- Home Health Agency
- Fridley, MN
National Provider Identifier
1184587727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CITY HOME HEALTHCARE LLC
- Practice address
- 880 Moore Lake Dr W
Fridley, MN 55432-6905 - Phone
- (763) 245-3686
- NPI assigned
- Dec 9, 2025
- 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
- Andrea Sampson
- Title
- Owner
- Phone
- (763) 245-3686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
880 Moore Lake Dr W
Fridley, MN 55432-6905
Mailing address
880 Moore Lake Dr W
Fridley, MN 55432-6905
Other practice location 1
7671 Central Ave NE Ste 207
Fridley, MN 55432-3542
Phone (763) 245-3686
National Provider Directory
National Provider DirectoryLocations
7671 Central Ave NE
Ste 207
Fridley, MN 55432
Phone (763) 245-3686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1184587727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 MOORE LAKE DR W",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554326905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MOORE LAKE DR W",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554326905",
"telephone_number": "763-245-3686"
}
],
"practiceLocations": [
{
"address_1": "7671 Central Ave NE Ste 207",
"address_purpose": "LOCATION",
"city": "Fridley",
"state": "MN",
"postal_code": "554323542",
"country_code": "US",
"telephone_number": "763-245-3686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CITY HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "SAMPSON",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-245-3686"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.