Active NPI
Rejoyce Health Care LLC
- Assisted Living Facility
- Coon Rapids, MN
National Provider Identifier
1194509869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310400000X | Other | MN | HEALTH CARE |
Other names 1
- Rejoyce Health Care LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2339490 | Rejoyce Health Care LLC | Certificate of waiver | Mar 2, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.