Home Instead Senior Care #230, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

331125 Issued in MN

Legal business name

HOME INSTEAD SENIOR CARE #230, LLC

Practice address

1710 Douglas Dr N Ste 108
Golden Valley, MN 55422-4397

Phone

(763) 544-5988

Fax

(763) 544-6012

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Envey

Title

Owner

Phone

(763) 544-5988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295807196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 108",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224397",
            "telephone_number": "763-544-5988",
            "fax_number": "763-544-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 108",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224397",
            "telephone_number": "763-544-5988",
            "fax_number": "763-544-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME INSTEAD SENIOR CARE #230, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENVEY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-544-5988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "331125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Golden Valley, MN
• Providers in Golden Valley, 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 Aug 22, 2020; 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.