Individual provider Active NPI

Julie Ann Milnler

  • Personal Care Attendant
  • Maple Grove, MN
National Provider Identifier
1245853506
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
1097939 Issued in MN
Practice address
17520 93Rd PL N
Maple Grove, MN 55311-4434
Phone
(612) 501-2273
Fax
(888) 520-4219
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 1097939 MN Primary

Addresses

Primary practice location

17520 93Rd PL N
Maple Grove, MN 55311-4434

Mailing address

17520 93Rd PL N
Maple Grove, MN 55311-4434
Phone (612) 501-2273

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address phcs@tds.net Direct
Direct Messaging Address phcs@tds.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1097939MNMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Home Care Services Inc. CurrentSince Jul 5, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1245853506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 93RD PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114434",
            "telephone_number": "612-501-2273",
            "fax_number": "888-520-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 93RD PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114434",
            "telephone_number": "612-501-2273",
            "fax_number": "888-520-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNLER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": "1097939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phcs@tds.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17520 93rd Pl N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553114434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phcs@tds.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17520 93rd Pl N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553114434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.