Organization Active NPI

Senior Class Home Health Care LLC

  • Home Health Agency
  • Pequot Lakes, MN
National Provider Identifier
1326222811
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
335989 Issued in MN
Legal business name
SENIOR CLASS HOME HEALTH CARE LLC
Practice address
30849 1St St
Pequot Lakes, MN 56472
Phone
(218) 568-1098
Fax
(218) 568-1097
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Mrs. Angela Marie SandelinNPI 1679152813
Title
President
Phone
(218) 839-1895

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 335989 MN Primary

Addresses

Primary practice location

30849 1St St
Pequot Lakes, MN 56472

Mailing address

PO Box 852
Pequot Lakes, MN 56472
Phone (218) 839-1895

Other names 1

  • Senior Class Caren DBA Doing business as

National Provider Directory

National Provider Directory

Locations

30849 1st St
Pequot Lakes, MN 56472
Phone (218) 568-1098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1326222811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "56472",
            "telephone_number": "218-839-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30849 1ST ST",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "56472",
            "telephone_number": "218-568-1098",
            "fax_number": "218-568-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CLASS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "SANDELIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-839-1895",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "335989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Class Caren DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pequot Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.