Harrison Supportive Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HARRISON SUPPORTIVE SERVICES LLC

Practice address

7692 Fountain LN N
Maple Grove, MN 55311-3739

Phone

(612) 242-1446

NPI assigned

Apr 11, 2025

Organization subpart

No

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

Authorized official

Name

Magdalene Jares

Title

Owner/ RN

Phone

(612) 242-1446

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1215722996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7692 FOUNTAIN LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7692 FOUNTAIN LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113739",
            "telephone_number": "612-242-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "JARES",
        "authorized_official_first_name": "MAGDALENE",
        "authorized_official_title_or_position": "OWNER/  RN",
        "authorized_official_telephone_number": "612-242-1446"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Dale Hanson
• Alishba Haq, PHARMD
• Ross Andrew Hardman, MS, LPCC
• Jamie Harmala, PTA
• Renee Haroldson, OTRL CHT
• David Edward Hartigan, MD
• Maura Scanlon Hartigan, MD
• Elizabeth Harting, DDS
• Harvest Management Group LLC
• Angela Hasouris

• Nursing Care Agency in Maple Grove, MN
• Providers in Maple Grove, 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 Apr 11, 2025; 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.