Marylous Homecare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARYLOUS HOMECARE

Practice address

6130 Albert LN
North Branch, MN 55056-3303

Phone

(952) 290-3667

Fax

(952) 290-3667

NPI assigned

Apr 9, 2025

Organization subpart

No

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

Authorized official

Name

Logan Sheppard

Title

Vice President of Operations

Phone

(952) 290-3667

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1255125662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 ALBERT LN",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550563303",
            "telephone_number": "952-290-3667",
            "fax_number": "952-290-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 ALBERT LN",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550563303",
            "telephone_number": "952-290-3667",
            "fax_number": "952-290-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLOUS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "952-290-3667"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Branch, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.