Southern Minn. Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

346457 Issued in MN

Legal business name

SOUTHERN MINN. HOMECARE LLC

Practice address

213 Parkway Ave
Eagle Lake, MN 56024-7709

Phone

(507) 257-2252

NPI assigned

Oct 12, 2009

Organization subpart

No

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

Authorized official

Name

Miss Barbara Jane Sontag

Title

Owner

Phone

(507) 257-2252

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Southern Minnesota Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Minnesota Home Care

  • Point of Service
  • Eagle Lake, MN
  • NPI 1306259056
  NPD tax ID

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1295060077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "address_2": "PO BOX 375",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560240375",
            "telephone_number": "507-257-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PARKWAY AVE",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560247709",
            "telephone_number": "507-257-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MINN. HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SONTAG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-257-2252",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "346457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A864907100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A632620100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terese M Olson, DC
• Terry L Olson, DC
• Abdulahi Osman
• Brianna Marie Prange, DNP, APRN, FNP-C
• Brandon Lane Sloniker, DC
• Southern Minnesota Home Care
• Andrew Vostad, DDS
• Amy Marie Williams, L.A.C
• Steven Yath, RN

• Home Health Agency in Eagle Lake, MN
• Providers in Eagle Lake, 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 Jul 31, 2014; 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.