Organization Active NPI

Accra Home Care Inc

  • Home Health Registered Nurse
  • Minnetonka, MN
National Provider Identifier
1215294780
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
ACCRA HOME CARE INC
Practice address
12600 Whitewater Dr Ste 100
Minnetonka, MN 55343-9450
Phone
(952) 935-3515
NPI assigned
Apr 20, 2012
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
John Dahm
Title
Executive Directory
Phone
(952) 935-3515

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X Primary
Assisted Living Facility 310400000X 03084 MN
Home Health Aide 374U00000X
Homemaker 376J00000X

Addresses

Primary practice location

12600 Whitewater Dr Ste 100
Minnetonka, MN 55343-9450

Mailing address

12600 Whitewater Dr Ste 100
Minnetonka, MN 55343-9450
Phone (952) 935-3515

National Provider Directory

National Provider Directory

Locations

1910 Aga Dr
Ste 300
Alexandria, MN 56308
Phone (320) 762-5007

220 22nd Ave E
Ste 103
Alexandria, MN 56308
Phone (320) 762-5007

225 W Cavour Ave
Ste D
Fergus Falls, MN 56537
Phone (218) 736-0246

1904 30th Ave S
Moorhead, MN 56560
Phone (218) 236-7145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1215294780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 WHITEWATER DR STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439450",
            "telephone_number": "952-935-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 WHITEWATER DR STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439450",
            "telephone_number": "952-935-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCRA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "DAHM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTORY",
        "authorized_official_telephone_number": "952-935-3515"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "03084",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.