Active NPI
Home Care Speciality LLC
- Home Health Agency
- Wayzata, MN
National Provider Identifier
1235675059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 379624
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.