Isaiah Residential Care Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ISAIAH RESIDENTIAL CARE SERVICES LLC

Doing business as

Isaiah Residential Care Services

Practice address

9200 12TH Ave S
Bloomington, MN 55425-2204

Phone

(612) 310-2785

NPI assigned

Oct 28, 2022

Organization subpart

No

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

Authorized official

Name

Lucrecia Dennis, RN

Title

Owner

Phone

(612) 310-2785

Specialties & licenses 1

Addresses

Other names 1

• Isaiah Residential Care Services Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1215644422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 12TH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252204",
            "telephone_number": "612-310-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 12TH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252204",
            "telephone_number": "612-310-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAIAH RESIDENTIAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LUCRECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-310-2785",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "API",
            "affiliation": "N",
            "endpointDescription": "Smartbear academy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9200 12th Ave S",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554252204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "API",
            "affiliation": "N",
            "endpointDescription": "Smartbear",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9200 12th Ave S",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554252204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Isaiah Residential Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.