Clinique Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

338180 Issued in MN

Legal business name

CLINIQUE HEALTHCARE SERVICES, INC

Practice address

6000 Bass Lake Rd Ste 204
Crystal, MN 55429-2765

Phone

(763) 503-4757

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nnenna Grace Orjinta

Title

RN Administrator

Phone

(763) 503-4757

Specialties & licenses 1

Addresses

Other names 1

• CLINIQUE HEALTHCARE SERVICES, INC Former legal business name

Tax ID family

Clinique Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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  NPD tax ID

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1386826386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD STE 204",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292765",
            "telephone_number": "763-503-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD STE 204",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292765",
            "telephone_number": "763-503-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIQUE HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "ORJINTA",
        "authorized_official_first_name": "NNENNA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "763-503-4757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "338180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINIQUE HEALTHCARE SERVICES, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Crystal, MN
• Providers in Crystal, 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 Aug 18, 2016; 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.