Active NPI
Edelweiss Home Health Care
- Home Health Agency
- Maple Grove, MN
National Provider Identifier
1316956964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 331449
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331449 | Other | MN | HOME CARE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.