Hisbizmn, Dba Comfort Keepers #424

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

337496 Issued in MN

Legal business name

HISBIZMN, DBA COMFORT KEEPERS #424

Practice address

7940 Ranchers Rd NE Ste B
Fridley, MN 55432-1804

Phone

(763) 785-0387

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Marie Lindell

Title

Owner

Phone

(763) 785-0387

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1295901056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 RANCHERS RD NE STE B",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321804",
            "telephone_number": "763-785-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 RANCHERS RD NE STE B",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321804",
            "telephone_number": "763-785-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISBIZMN, DBA COMFORT KEEPERS #424",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "LINDELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-785-0387",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "337496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTERNATIVE CARE AND ELDERLY WAIVER",
            "identifier": "827482000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Hickenbottom, LICSW
• William Leonard Hicks, LMFT
• Amanda Kathryn Hilligoss, DPT
• Bontu Debebe Hinika
• Paul Hinz
• Josephine Chantelle Hiti, PA-C
• Ashton Marie Hoag
• Peter David Holmberg, M.D.
• Elizabeth Anne Holme, DPT
• Home Haven Health

• Home Health Agency in Fridley, MN
• Providers in Fridley, 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 May 1, 2008; 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.