Minn Care Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MINN CARE HOME HEALTH

Practice address

151 Silver Lake Rd NW Unit 2
New Brighton, MN 55112-8101

Phone

(763) 200-6270

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Ikenna Dijeh

Title

Executive Director

Phone

(763) 200-6270

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Minn Care Home Health2 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1215440763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD NW UNIT 201",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128108",
            "telephone_number": "763-200-6270",
            "fax_number": "763-201-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD NW UNIT 2",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128101",
            "telephone_number": "763-200-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINN CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "DIJEH",
        "authorized_official_first_name": "IKENNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-200-6270"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.