Homelife Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMELIFE HOME CARE

Practice address

7240 Brooklyn Blvd Ste 205
Brooklyn Park, MN 55429-1279

Phone

(763) 533-1869

Fax

(763) 560-1007

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Simon Ali

Title

President

Phone

(763) 533-1869

Specialties & licenses 1

Addresses

Electronic endpoints 5

Locations

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1356973317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 BROOKLYN BLVD STE 205",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291279",
            "telephone_number": "763-533-1869",
            "fax_number": "763-560-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 BROOKLYN BLVD STE 205",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291279",
            "telephone_number": "763-533-1869",
            "fax_number": "763-560-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELIFE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-533-1869",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@homelife-homecare.com",
            "affiliation": "N",
            "endpointDescription": "Home Health Care",
            "address_1": "7240 Brooklyn Blvd Ste 205",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@homelife-homecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7240 Brooklyn Blvd Ste 205",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@homelife-homecare.com",
            "affiliation": "N",
            "address_1": "7240 Brooklyn Blvd Ste 205",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@homelife-homecare.com",
            "affiliation": "N",
            "address_1": "7240 Brooklyn Blvd Ste 205",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@homelife-homecare.com",
            "affiliation": "N",
            "address_1": "7240 Brooklyn Blvd Ste 205",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Brooklyn Park, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.