Active NPI
Surety Care
- Home Health Aide
- Andover, MN
National Provider Identifier
1356066633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- SURETY CARE
- Doing business as
- Surety Care
- Practice address
- 3260 140TH Ave NW
Andover, MN 55304-7554 - Phone
- (703) 870-0824
- NPI assigned
- Oct 10, 2022
- Last updated
- Oct 10, 2022
- 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
- Frederick Addai-Poku
- Title
- Director
- Phone
- (703) 870-0824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3260 140TH Ave NW
Andover, MN 55304-7554
Mailing address
3260 140TH Ave NW
Andover, MN 55304-7554
Phone (703) 870-0824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NA |
Other names 1
- SURETY CARE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665360000000",
"number": "1356066633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 140TH AVE NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553047554",
"telephone_number": "703-870-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 140TH AVE NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553047554",
"telephone_number": "703-870-0824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURETY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-08",
"status": "A",
"authorized_official_last_name": "ADDAI-POKU",
"authorized_official_first_name": "FREDERICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-870-0824"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SURETY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.