NPIMap

Organization Active NPI

Fairview Health Services

Doing business as Fairview Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Wyoming, MN
National Provider Identifier
1396087433
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FAIRVIEW HEALTH SERVICES
Doing business as
Fairview Wyoming Home Medical Equipment
Practice address
5130 Fairview Blvd
Suite 104
Wyoming, MN 55092
Phone
(651) 982-7002
NPI assigned
Mar 26, 2013
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Jill Marie McCartney
Title
System Executive HME O&P
Phone
(651) 632-9835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5130 Fairview Blvd
Suite 104
Wyoming, MN 55092

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740

Other names 2

  • Fairview Home Medical Equipment Other name
  • Fairview Wyoming Home Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130925000732 MN DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 1951213057 Practice locations: Wyoming, MN

National Provider Directory

National Provider Directory
Tax ID family
Fairview LKS N Brnch CL70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capitol Park Mental Health HospitalSaint Paul, MN, CCN 244019 Hospital 5% Or Greater Direct Ownership Interest (12.1%) Dec 7, 2021
Accentcare Fairview Home Health - East, LLCOakdale, MN, CCN 247166 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Home Health - West, LLCSaint Paul, MN, CCN 247078 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Hospice - West, LLCSaint Paul, MN, CCN 241514 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1396087433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-6740",
            "fax_number": "612-884-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 FAIRVIEW BLVD",
            "address_2": "SUITE 104",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "55092",
            "telephone_number": "651-982-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SYSTEM EXECUTIVE HME O&P",
        "authorized_official_telephone_number": "651-632-9835"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Wyoming Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Home Medical Equipment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wyoming, MN

Sources for this page

Verify at the official NPI Registry.