Organization Active NPI

Community Care Partners Inc

  • In Home Supportive Care Agency
  • Bloomington, MN
National Provider Identifier
1306614458
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY CARE PARTNERS INC
Practice address
8030 Old Cedar Ave S Ste 125
Bloomington, MN 55425-1226
Phone
(952) 594-0050
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Harun A Kofiro, CPA
Title
Owner
Phone
(952) 594-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8030 Old Cedar Ave S Ste 125
Bloomington, MN 55425-1226

Mailing address

8030 Old Cedar Ave S Ste 125
Bloomington, MN 55425-1226

National Provider Directory

National Provider Directory

Locations

8030 Old Cedar Ave S
Ste 125
Bloomington, MN 55425
Phone (952) 594-0050

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1306614458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 OLD CEDAR AVE S STE 125",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 OLD CEDAR AVE S STE 125",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251226",
            "telephone_number": "952-594-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "KOFIRO",
        "authorized_official_first_name": "HARUN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-594-0050",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.