Organization Active NPI

Healthy Soles Inc.

  • Home Health Agency
  • Minnetonka, MN
National Provider Identifier
1336228626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
24407 Issued in MN
Legal business name
HEALTHY SOLES INC.
Practice address
17029 Clear Spring Ter
Minnetonka, MN 55345-4318
Phone
(952) 994-4438
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lori Jayne Stamm, RNNPI 1871503839
Title
President
Phone
(952) 994-4438

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 24407 MN Primary

Addresses

Primary practice location

17029 Clear Spring Ter
Minnetonka, MN 55345-4318

Mailing address

17029 Clear Spring Ter
Minnetonka, MN 55345-4318
Phone (952) 994-4438

Other identifiers 1

IdentifierTypeStateIssuer
24407OtherMNCLASS A HOME CARE LICENSU

National Provider Directory

National Provider Directory

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336228626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17029 CLEAR SPRING TER",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454318",
            "telephone_number": "952-994-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17029 CLEAR SPRING TER",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454318",
            "telephone_number": "952-994-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SOLES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAMM",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-994-4438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "24407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS A HOME CARE LICENSU",
            "identifier": "24407",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, 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.

Verify at the official NPI Registry.