Alpha Care Family Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALPHA CARE FAMILY SERVICES, INC.

Practice address

651 Addison Alcove
Woodbury, MN 55129-8549

Phone

(612) 237-0711

NPI assigned

May 7, 2020

Last updated

May 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adebola Oduloye

Title

Administrator

Phone

(612) 237-0711

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1326660838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ADDISON ALCOVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551298549",
            "telephone_number": "612-237-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ADDISON ALCOVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551298549",
            "telephone_number": "612-237-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CARE FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "ODULOYE",
        "authorized_official_first_name": "ADEBOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-237-0711"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A562193000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R608185079814",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Woodbury",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "651 Addison Alcove",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551298549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Woodbury, MN
• Providers in Woodbury, MN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.