Organization Active NPI

Community Life Care, Inc.

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1316069735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
332961 Issued in MN
Legal business name
COMMUNITY LIFE CARE, INC.
Practice address
708 N 1St St
221
Minneapolis, MN 55401-1133
Phone
(763) 225-0577
NPI assigned
Apr 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Katherine Gee
Title
Ceo Cfo
Phone
(763) 225-0577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 332961 MN Primary

Addresses

Primary practice location

708 N 1St St
221
Minneapolis, MN 55401-1133

Mailing address

708 N 1St St
221
Minneapolis, MN 55401-1133
Phone (763) 225-0577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316069735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N 1ST ST",
            "address_2": "221",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011133",
            "telephone_number": "763-225-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N 1ST ST",
            "address_2": "221",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011133",
            "telephone_number": "763-225-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIFE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO CFO",
        "authorized_official_telephone_number": "763-225-0577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "332961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.