Active NPI
Home Care Service Providers Inc.
- Home Health Agency
- Cottage Grove, MN
National Provider Identifier
1366859746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 366227
- 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, 2014
- 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
- Mr. Paul Akhalu
- Title
- President
- Phone
- (651) 354-7290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.