Organization Active NPI

City Home Healthcare LLC

  • Home Health Agency
  • Fridley, MN
National Provider Identifier
1184587727
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 9, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.