Organization Active NPI

Morgatha Home Health Care, Inc.

  • Health Service Clinic/Center
  • Crystal, MN
National Provider Identifier
1285923748
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1932824 Issued in MN
Legal business name
MORGATHA HOME HEALTH CARE, INC.
Practice address
6000 Bass Lake Rd
Suite 111
Crystal, MN 55429-2700
Phone
(612) 533-0022
Fax
(612) 533-0044
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Gardoe Mongardoe Cephas, M.D.
Title
President
Phone
(612) 812-9147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1932824 MN Primary

Addresses

Primary practice location

6000 Bass Lake Rd
Suite 111
Crystal, MN 55429-2700

Mailing address

6000 Bass Lake Rd
Suite 111
Crystal, MN 55429-2700
Phone (612) 533-0022

National Provider Directory

National Provider Directory

Locations

6000 Bass Lake Rd
Ste 111
Crystal, MN 55429
Phone (612) 533-0022

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1285923748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD",
            "address_2": "SUITE 111",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292700",
            "telephone_number": "612-533-0022",
            "fax_number": "612-533-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD",
            "address_2": "SUITE 111",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292700",
            "telephone_number": "612-533-0022",
            "fax_number": "612-533-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGATHA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "CEPHAS",
        "authorized_official_first_name": "GARDOE",
        "authorized_official_middle_name": "MONGARDOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-812-9147",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "1932824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.