Epiphany Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EPIPHANY CARE INC

Practice address

1 Riverside Dr
Duluth, MN 55808-1137

Phone

(651) 900-0111

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Derek Slaughter

Title

Manager

Phone

(651) 587-2073

Specialties & licenses 2

Addresses

Other names 1

• Epiphany Care Homes of Duluth Doing business as

Practitioners 1

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

• Aimee Michele Slaughter, RN

  • Registered Nurse
  • Minneapolis, MN
  • NPI 1184876732
  NPD

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1306513338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 BENWOOD CIR",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179380",
            "telephone_number": "651-900-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558081137",
            "telephone_number": "651-900-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-587-2073"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epiphany Care Homes of Duluth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Scott Engelsgjerd, M.D.
• Kim Marie Enos
• Laura Anne Enright, CNP
• Nancy Joy Ensley
• Amy M. Entzminger, MACCC-SLP
• Nicol Rae Erdmann
• Mark W Erhard, MD
• Alana M Erickson
• Christie Sue Erickson
• Douglas M Erickson, DDS, MS

• Assisted Living Facility in Duluth, MN
• Providers in Duluth, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.