NPIMap

Organization Active NPI

1Absolute Supplemental Nursing, LLC

  • Home Health Agency
  • Coon Rapids, MN
National Provider Identifier
1295589893
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
1ABSOLUTE SUPPLEMENTAL NURSING, LLC
Practice address
12152 Jonquil St NW
Coon Rapids, MN 55433-1769
Phone
(763) 280-3807
Fax
(651) 705-2770
NPI assigned
Apr 11, 2024
Organization subpart
No

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Patrick MorrisNPI 1326919820
Title
Manager
Phone
(763) 280-3807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12152 Jonquil St NW
Coon Rapids, MN 55433-1769

Mailing address

12152 Jonquil St NW
Coon Rapids, MN 55433-1769
Phone (763) 280-3807

Other names 1

  • 1Absolute HomeCare Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1295589893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12152 JONQUIL ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331769",
            "telephone_number": "763-280-3807",
            "fax_number": "651-705-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12152 JONQUIL ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331769",
            "telephone_number": "763-280-3807",
            "fax_number": "651-705-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ABSOLUTE SUPPLEMENTAL NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-280-3807"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1Absolute HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.