Carelegacy Pca Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARELEGACY PCA AGENCY, INC

Practice address

6901 78TH Ave N Ste 101B
Brooklyn Park, MN 55445-2720

Phone

(763) 561-1439

Fax

(763) 566-4793

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Akinbowale John Barbington, CEO

Title

Chief Executive Officer

Phone

(763) 561-1439

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1265773261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 78TH AVE N STE 101B",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452720",
            "telephone_number": "763-561-1439",
            "fax_number": "763-566-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 78TH AVE N STE 101B",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452720",
            "telephone_number": "763-561-1439",
            "fax_number": "763-566-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELEGACY PCA AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "BARBINGTON",
        "authorized_official_first_name": "AKINBOWALE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "763-561-1439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.