First Nations, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FIRST NATIONS, LLC

Doing business as

Circle of Life Home Care
First Nations Home Health

Practice address

2586 7TH Ave E
Suite 302
North St Paul, MN 55109-3083

Phone

(651) 633-7300

Fax

(651) 633-7301

NPI assigned

Jan 18, 2017

Last updated

May 12, 2023By 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

Tim Lively

Title

President

Phone

(651) 633-7300

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• Circle of Life Home Care Doing business as
• First Nations Home Health Doing business as

Locations

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1346786035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 7TH AVE E",
            "address_2": "SUITE 302",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093083",
            "telephone_number": "651-633-7300",
            "fax_number": "651-633-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 7TH AVE E",
            "address_2": "SUITE 302",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093083",
            "telephone_number": "651-633-7300",
            "fax_number": "651-633-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 Metro Ave # 1",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873015384",
            "country_code": "US",
            "telephone_number": "505-722-0160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 E Florence Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224270",
            "country_code": "US",
            "telephone_number": "520-836-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST NATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-633-7300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378177",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A430029700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45471746",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle of Life Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Nations Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in North St Paul, MN
• Providers in North St Paul, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.