Stitches on Site

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STITCHES ON SITE

Practice address

7900 International Dr Ste 300-7037
Bloomington, MN 55425-1510

Phone

(651) 315-5492

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Ethan Formo

Title

Ceo

Phone

(651) 315-5492

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1356095194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 INTERNATIONAL DR STE 300-7037",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 INTERNATIONAL DR STE 300-7037",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251510",
            "telephone_number": "651-315-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STITCHES ON SITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "FORMO",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-315-5492"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Dawn Stewart, PHD, LP, LAMFT
• Nikki Dana Stewart, DENTAL HYGIENIST
• Abigail Stignani
• John Stites, R.PH.
• Suzanne Gloria Stoltenberg, LICSW
• Seriena Marie Stone
• Shelbi Stone
• Stonebridge Mental Health LLC

• Home Health Agency in Bloomington, MN
• Providers in Bloomington, 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 Feb 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.

Verify at the official NPI Registry.