Alpine Home Heatlh

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALPINE HOME HEATLH

Practice address

1543 Como Ave
Saint Paul, MN 55108-2561

Phone

(651) 444-5999

Fax

(651) 444-5279

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Todd Wackerfuss

Title

Owner

Phone

(651) 444-5999

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1326781634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082561",
            "telephone_number": "651-444-5999",
            "fax_number": "651-444-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082561",
            "telephone_number": "651-444-5999",
            "fax_number": "651-444-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE HOME HEATLH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "WACKERFUSS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-444-5999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A235100100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Alness Olson, PSYD
• Mary Ekpomula Alogidi-Egbuson, CNM
• Alina Aloma, LP
• Jonathan David Alpern
• Mollie Lyle Alpern, M.D.
• Ahmed Zeen Alabedeen Alrifai, M.D.
• Bilal M Alsadi, ETC
• Julie Alsum, LICSW
• Michael D Alter, M.D.
• Sarianna Joy Althoff

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.