Organization Active NPI

Home Care Service Providers Inc.

  • Home Health Agency
  • Cottage Grove, MN
National Provider Identifier
1366859746
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
366227 Issued in MN
Legal business name
HOME CARE SERVICE PROVIDERS INC.
Practice address
9635 Hamlet Ave
Cottage Grove, MN 55016
Phone
(651) 354-7290
Fax
(651) 772-3600
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Mr. Paul Akhalu
Title
President
Phone
(651) 354-7290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 366227 MN Primary

Addresses

Primary practice location

9635 Hamlet Ave
Cottage Grove, MN 55016

Mailing address

9635 Hamlet Ave S
Cottage Grove, MN 55016-3886
Phone (651) 354-7290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1366859746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 HAMLET AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163886",
            "telephone_number": "651-354-7290",
            "fax_number": "651-772-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 HAMLET AVE",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "55016",
            "telephone_number": "651-354-7290",
            "fax_number": "651-772-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SERVICE PROVIDERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "AKHALU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-354-7290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "366227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.