Active NPI
Avanna Health
- Home Health Agency
- Golden Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVANNA HEALTH
- Practice address
- 1405 Lilac Dr N
Golden Valley, MN 55422-4535 - Phone
- (763) 516-1222
- NPI assigned
- Jul 16, 2014
- Last updated
- Jul 16, 2014
- 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
- Ms. Nelly Mogeni
- Title
- Ceo
- Phone
- (763) 516-1222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1405 Lilac Dr N
Golden Valley, MN 55422-4535
Mailing address
1405 Lilac Dr N
Golden Valley, MN 55422-4535
Phone (763) 516-1222
National Provider Directory
National Provider Directory- Tax ID family
- Allayans Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Brooklyn Park, MN
- NPI 1548565658
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.
-
- Homemaker
- Golden Valley, MN
- NPI 1588067409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1215344759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 LILAC DR N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224535",
"telephone_number": "763-516-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 LILAC DR N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224535",
"telephone_number": "763-516-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVANNA HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "MOGENI",
"authorized_official_first_name": "NELLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "763-516-1222",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.