Organization Active NPI

Rejoyce Health Care LLC

  • Assisted Living Facility
  • Coon Rapids, MN
National Provider Identifier
1194509869
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
REJOYCE HEALTH CARE LLC
Practice address
11361 Swallow Cir NW
Coon Rapids, MN 55433-3638
Phone
(763) 568-5207
Fax
(763) 226-2397
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Rejoyce Patricia Tarr
Title
Owner/Director
Phone
(763) 568-5207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11361 Swallow Cir NW
Coon Rapids, MN 55433-3638

Mailing address

11361 Swallow Cir NW
Coon Rapids, MN 55433-3638
Phone (763) 568-5207

Other identifiers 1

IdentifierTypeStateIssuer
310400000XOtherMNHEALTH CARE

Other names 1

  • Rejoyce Health Care LLC Other name

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
24D2339490Rejoyce Health Care LLC11361 Swallow Cir NW, Coon Rapids, MN 55433Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1194509869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 SWALLOW CIR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333638",
            "telephone_number": "763-568-5207",
            "fax_number": "763-226-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 SWALLOW CIR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333638",
            "telephone_number": "763-568-5207",
            "fax_number": "763-226-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJOYCE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "REJOYCE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "763-568-5207"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE",
            "identifier": "310400000X",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejoyce Health Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.