Organization Active NPI

Edelweiss Home Health Care

  • Home Health Agency
  • Maple Grove, MN
National Provider Identifier
1316956964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
331449 Issued in MN
Legal business name
EDELWEISS HOME HEALTH CARE
Practice address
7014 E Fish Lake Rd
Maple Grove, MN 55311-2832
Phone
(763) 315-1050
NPI assigned
Aug 5, 2006
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
Ms. Edelgard Austin, RN
Title
Owner
Phone
(763) 315-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 331449 MN Primary

Addresses

Primary practice location

7014 E Fish Lake Rd
Maple Grove, MN 55311-2832

Mailing address

7014 E Fish Lake Rd
Maple Grove, MN 55311-2832
Phone (763) 315-1050

Other identifiers 1

IdentifierTypeStateIssuer
331449OtherMNHOME CARE LICENSE

National Provider Directory

National Provider Directory

Locations

7014 E Fish Lake Rd
Maple Grove, MN 55311
Phone (763) 315-1050

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316956964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "763-315-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "763-315-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELWEISS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "EDELGARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-315-1050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "331449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "331449",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, 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.