Organization Active NPI

Life Health Care, Inc

  • Home Health Agency
  • New Hope, MN
National Provider Identifier
1306260526
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
363079 Issued in MN
Legal business name
LIFE HEALTH CARE, INC
Practice address
2738 Winnetka Ave N
Ste 280
New Hope, MN 55427-2850
Phone
(763) 546-1489
Fax
(763) 546-1513
NPI assigned
Feb 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Mr. Daniel Gboeah
Title
Administrator
Phone
(763) 546-1489

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 363079 MN Primary
Community Based Hospice Care Agency 251G00000X 1067129-1-HCBS MN

Addresses

Primary practice location

2738 Winnetka Ave N
Ste 280
New Hope, MN 55427-2850

Mailing address

2738 Winnetka Ave N
Ste 280
New Hope, MN 55427-2850
Phone (763) 546-1489

National Provider Directory

National Provider Directory

Locations

2738 Winnetka Ave N
Ste 280
New Hope, MN 55427
Phone (763) 546-1489

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1306260526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE N",
            "address_2": "STE 280",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "763-546-1489",
            "fax_number": "763-546-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE N",
            "address_2": "STE 280",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "763-546-1489",
            "fax_number": "763-546-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "GBOEAH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-546-1489",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "363079",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "1067129-1-HCBS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.