Organization Active NPI

HD Corp

  • Home Health Agency
  • Minnetonka, MN
National Provider Identifier
1417283516
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HE01084-04 Issued in MN
Legal business name
HD CORP
Practice address
13911 Ridgedale Dr
404C
Minnetonka, MN 55305-1771
Phone
(952) 546-5488
Fax
(952) 546-5496
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Mr. Jon Dewitte
Title
President
Phone
(952) 546-5488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HE01084-04 MN Primary

Addresses

Primary practice location

13911 Ridgedale Dr
404C
Minnetonka, MN 55305-1771

Mailing address

13911 Ridgedale Dr.
404C
Minnetonka, MN 55305
Phone (952) 546-5488

Other names 1

  • Accessible Home Health Care of Western Minneapolis Doing business as

National Provider Directory

National Provider Directory

Locations

13911 Ridgedale Dr
Ste 404C
Minnetonka, MN 55305
Phone (612) 598-0362

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1417283516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR.",
            "address_2": "404C",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55305",
            "telephone_number": "952-546-5488",
            "fax_number": "952-546-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR",
            "address_2": "404C",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051771",
            "telephone_number": "952-546-5488",
            "fax_number": "952-546-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "DEWITTE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-546-5488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "HE01084-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accessible Home Health Care of Western Minneapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.