Active NPI
Senior Class Home Health Care LLC
- Home Health Agency
- Pequot Lakes, MN
National Provider Identifier
1326222811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 335989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela Marie Sandelin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Homemaker
- Pequot Lakes, MN
- NPI 1679152813
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.