Active NPI
Steadfast Care Inc
- Home Health Agency
- Woodbury, MN
National Provider Identifier
1255918710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STEADFAST CARE INC
- Doing business as
- Steadfast Care Inc
- Practice address
- 2569 Copper Cliff Trail
Woodbury, MN 55125 - Phone
- (651) 206-8084
- NPI assigned
- Mar 29, 2021
- 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
- Rogers A Akembom
- Title
- President
- Phone
- (651) 206-8084
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
2569 Copper Cliff Trail
Woodbury, MN 55125
Mailing address
2569 Copper Cliff Trail
Woodbury, MN 55125
Phone (651) 206-8084
Other names 1
- Steadfast Care Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1255918710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2569 COPPER CLIFF TRAIL",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-206-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2569 COPPER CLIFF TRAIL",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-206-8084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEADFAST CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-29",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "AKEMBOM",
"authorized_official_first_name": "ROGERS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-206-8084"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Steadfast Care Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Steadfast Care Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.