One Family One Community

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ONE FAMILY ONE COMMUNITY

Practice address

5701 Shingle Creek Pkwy Ste 318C
Brooklyn Center, MN 55430-2467

Phone

(651) 354-9855

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Melita Darcell Kimmons

Title

Owner/ Executive

Phone

(651) 354-9855

Specialties & licenses 1

Addresses

Other names 1

• ONE FAMILY ONE COMMUNITY Former legal business name

Locations

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1215763370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 318C",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467",
            "telephone_number": "651-354-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 318C",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467",
            "telephone_number": "651-354-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE FAMILY ONE COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "KIMMONS",
        "authorized_official_first_name": "MELITA",
        "authorized_official_middle_name": "DARCELL",
        "authorized_official_title_or_position": "OWNER/ EXECUTIVE",
        "authorized_official_telephone_number": "651-354-9855"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONE FAMILY ONE COMMUNITY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.