NPIMap

Organization Active NPI

Southern Minnesota Home Care

  • Point of Service
  • Eagle Lake, MN
National Provider Identifier
1306259056
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
346457 Issued in MN
Legal business name
SOUTHERN MINNESOTA HOME CARE
Practice address
213 Parkway Ave
Eagle Lake, MN 56024-7709
Phone
(507) 257-2252
NPI assigned
Jun 10, 2014
Organization subpart
Yes
Parent organization
SOUTHERN MINNESOTA HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Miss Barbara J Sontag
Title
Admin Owner
Phone
(507) 257-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 346457 MN Primary

Addresses

Primary practice location

213 Parkway Ave
Eagle Lake, MN 56024-7709

Mailing address

213 Parkway Ave
PO Box 375
Eagle Lake, MN 56024-7709
Phone (507) 257-2252

Other identifiers 3

IdentifierTypeStateIssuer
1295060077MedicaidMN
A864907100MedicaidMN
A632620100MedicaidMN

Other names 1

  • SOUTHERN MINNESOTA HOME CARE LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Minnesota Home Care2 organizations share this tax ID, including this one
Part of
Southern Minnesota Home Care

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1306259056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PARKWAY AVE",
            "address_2": "PO BOX 375",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560247709",
            "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 MINNESOTA HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MINNESOTA HOME CARE LLC",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SONTAG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN     OWNER",
        "authorized_official_telephone_number": "507-257-2252",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MN",
            "license": "346457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295060077",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A864907100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A632620100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN MINNESOTA HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle Lake, MN

Sources for this page

  • 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.