Skills

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SKILLS

Practice address

810 4TH Ave S
Suite 100
Moorhead, MN 56560-2800

Phone

(218) 477-1919

NPI assigned

Jan 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debra Kay Thomas, RN, QMRP

Title

Ceo

Phone

(218) 477-1919

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275683708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 4TH AVE S",
            "address_2": "SUITE 100",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602800",
            "telephone_number": "218-477-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 4TH AVE S",
            "address_2": "SUITE 100",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602800",
            "telephone_number": "218-477-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-477-1919",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, QMRP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN EIN",
            "identifier": "1062246",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Moorhead, MN
• Providers in Moorhead, 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 Aug 22, 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.