Organization Active NPI

Balsam Home Care Inc

  • In Home Supportive Care Agency
  • Maplewood, MN
National Provider Identifier
1275075434
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BALSAM HOME CARE INC
Practice address
3029 Carey Heights Dr
Maplewood, MN 55109-5529
Phone
(612) 999-5515
Fax
(612) 568-9507
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Omar S Asamarai
Title
Owner
Phone
(612) 999-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3029 Carey Heights Dr
Maplewood, MN 55109-5529

Mailing address

3029 Carey Heights Dr
Maplewood, MN 55109-5529
Phone (612) 999-5515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1275075434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 CAREY HEIGHTS DR",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095529",
            "telephone_number": "612-999-5515",
            "fax_number": "612-568-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 CAREY HEIGHTS DR",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095529",
            "telephone_number": "612-999-5515",
            "fax_number": "612-568-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALSAM HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "ASAMARAI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-999-5515"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.