NPIMap

Organization Active NPI

Beechwood, Inc.

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1316942824
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEECHWOOD, INC.
Practice address
3901 Chicago Avenue South
Minneapolis, MN 55407-2614
Phone
(612) 824-0415
Fax
(612) 825-0789
NPI assigned
Jun 21, 2005
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Fanny D Gaurnizo MillerNPI 1063972677
Title
Executive Director
Phone
(612) 824-0415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 325089 MN
Home Health Agency 251E00000X MN Primary
Community/Behavioral Health Agency 251S00000X MN

Addresses

Primary practice location

3901 Chicago Avenue South
Minneapolis, MN 55407-2614

Mailing address

3901 Chicago Avenue South
Minneapolis, MN 55407-2614
Phone (612) 824-0415

National Provider Directory

National Provider Directory
Tax ID family
Beechwood Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1316942824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CHICAGO AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072614",
            "telephone_number": "612-824-0415",
            "fax_number": "612-825-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CHICAGO AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072614",
            "telephone_number": "612-824-0415",
            "fax_number": "612-825-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "FANNY",
        "authorized_official_middle_name": "D GAURNIZO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-824-0415"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "325089",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 17, 2017; 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.