Organization Active NPI

Home Care Speciality LLC

  • Home Health Agency
  • Wayzata, MN
National Provider Identifier
1235675059
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
379624 Issued in MN
Legal business name
HOME CARE SPECIALITY LLC
Practice address
901 Twelve Oaks Center Dr
# 914
Wayzata, MN 55391-4701
Phone
(763) 302-9930
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Mrs. Pamella Bwari Onyambu
Title
Owner
Phone
(763) 302-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 379624 MN Primary

Addresses

Primary practice location

901 Twelve Oaks Center Dr
# 914
Wayzata, MN 55391-4701

Mailing address

901 Twelve Oaks Center Dr Ste 914
Wayzata, MN 55391-4710
Phone (763) 302-9930

National Provider Directory

National Provider Directory

Locations

901 Twelve Oaks Center Dr
Ste 914
Wayzata, MN 55391
Phone (763) 302-9930

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1235675059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TWELVE OAKS CENTER DR STE 914",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914710",
            "telephone_number": "763-302-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TWELVE OAKS CENTER DR",
            "address_2": "# 914",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914701",
            "telephone_number": "763-302-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SPECIALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "ONYAMBU",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_middle_name": "BWARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-302-9930",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "379624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.