Organization Active NPI

Southern Minnesota Care, LLC

  • Home Health Agency
  • Albert Lea, MN
National Provider Identifier
1205145471
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
349468 Issued in MN
Legal business name
SOUTHERN MINNESOTA CARE, LLC
Practice address
216 E Main St
Suite #1
Albert Lea, MN 56007-2919
Phone
(507) 373-4300
Fax
(507) 373-4304
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Mr. Jerome Todd Rezac, LPNNPI 1851600092
Title
Owner/Director
Phone
(507) 402-0433

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 349468 MN Primary

Addresses

Primary practice location

216 E Main St
Suite #1
Albert Lea, MN 56007-2919

Mailing address

216 E Main St
Suite #1
Albert Lea, MN 56007-2919
Phone (507) 373-4300

National Provider Directory

National Provider Directory

Locations

216 E Main St
Ste 1
Albert Lea, MN 56007
Phone (507) 373-4300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1205145471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072919",
            "telephone_number": "507-373-4300",
            "fax_number": "507-373-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072919",
            "telephone_number": "507-373-4300",
            "fax_number": "507-373-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MINNESOTA CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "507-402-0433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "349468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.