Active NPI
Morgatha Home Health Care, Inc.
- Health Service Clinic/Center
- Crystal, MN
National Provider Identifier
1285923748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 1932824
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.