Homecare Resource LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

332246 Issued in MN

Legal business name

HOMECARE RESOURCE LLC

Practice address

900 American Blvd E
Suite 100
Bloomington, MN 55420-1392

Phone

(952) 854-6104

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Charie L Devolites

Title

President

Phone

(952) 854-6104

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1396048773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AMERICAN BLVD E",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 AMERICAN BLVD E",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201392",
            "telephone_number": "952-854-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE RESOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "DEVOLITES",
        "authorized_official_first_name": "CHARIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-854-6104"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "332246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96602900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841484300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682678400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Julsrud Holtman, PSYD
• Katherine Holzbauer, PHYSICAL THERAPIST
• Home Free Incorporated
• Home Lab Partners Inc
• Home View Transportation LLC
• Homecare Resource, LLC
• Jennifer Marlena Honan Abarquez
• Robert J Honerman, SCHOOL PSYCHOLOGIST
• Hope & Healing Care LLC
• Hope Armhs L.L.C.

• In Home Supportive Care Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.