Synergy Homecare TCS

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

355127 Issued in MN

Legal business name

SYNERGY HOMECARE TCS

Practice address

13955 W Preserve Blvd
Suite 202
Burnsville, MN 55337-7733

Phone

(952) 697-4430

Fax

(952) 697-4431

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Omar Khayyam Richmond

Title

President

Phone

(952) 697-4430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1295019677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13955 W PRESERVE BLVD",
            "address_2": "SUITE 202",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377733",
            "telephone_number": "952-697-4430",
            "fax_number": "952-697-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13955 W PRESERVE BLVD",
            "address_2": "SUITE 202",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377733",
            "telephone_number": "952-697-4430",
            "fax_number": "952-697-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HOMECARE TCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "KHAYYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-697-4430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "355127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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