A Chance to Grow, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

334361 Issued in MN

Legal business name

A CHANCE TO GROW, INC.

Doing business as

A Chance to Grow, Inc

Practice address

1800 2ND St NE
Minneapolis, MN 55418-4306

Phone

(612) 706-1236

NPI assigned

Dec 31, 2007

Last updated

Jun 24, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

A CHANCE TO GROW, INC.As reported in NPPES

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

Authorized official

Name

Erica J DickersonNPI 1144334939

Title

Executive Director

Phone

(612) 706-5538

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Chance to Grow, Inc Doing business as

Tax ID family

A Chance to Grow Inc2 organizations share this tax ID, including this one

Part of

A Chance to Grow Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Chance to Grow, Inc.

  • Optometrist
  • Minneapolis, MN
  • NPI 1720347875
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Jean Dickerson, MA CCC SLP

  • Speech-Language Pathologist
  • Minneapolis, MN
  • NPI 1144334939
  Authorized official Same address or phone

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1356526008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 2ND ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184306",
            "telephone_number": "612-789-1236",
            "fax_number": "612-706-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 2ND ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184306",
            "telephone_number": "612-706-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHANCE TO GROW, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A CHANCE TO GROW, INC.",
        "enumeration_date": "2007-12-31",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-706-5538"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "334361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "927620300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Chance to Grow, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Chance to Grow, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, 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 Jun 24, 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.