Organization Active NPI

Senior Friend Associates, Inc.

Doing business as Senior Friend Home Care

  • Home Health Agency
  • Duluth, MN
National Provider Identifier
1427094812
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
330710 Issued in MN
Legal business name
SENIOR FRIEND ASSOCIATES, INC.
Doing business as
Senior Friend Home Care
Practice address
301 W. 1St Street
Suite 309
Duluth, MN 55802-1636
Phone
(218) 727-1111
Fax
(218) 720-6819
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Sandi L. Kienzle, R.N.
Title
Executive Director
Phone
(218) 727-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 330710 MN Primary

Addresses

Primary practice location

301 W. 1St Street
Suite 309
Duluth, MN 55802-1636

Mailing address

301 W. 1St Street
Suite 309
Duluth, MN 55802-1636
Phone (218) 727-1111

Other identifiers 6

IdentifierTypeStateIssuer
120013OtherMNBLUE FIRSTPLAN
8399SEOtherMNBLUE CROSS BS
110199OtherMNUCARE
373355600MedicaidMN
5900091OtherMNMEDICA
7280023OtherMNMEDICA

Other names 1

  • Senior Friend Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

214 W Superior St
Ste 200
Duluth, MN 55802
Phone (218) 727-1111

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1427094812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W. 1ST STREET",
            "address_2": "SUITE 309",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021636",
            "telephone_number": "218-727-1111",
            "fax_number": "218-720-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W. 1ST STREET",
            "address_2": "SUITE 309",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021636",
            "telephone_number": "218-727-1111",
            "fax_number": "218-720-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR FRIEND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "KIENZLE",
        "authorized_official_first_name": "SANDI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-727-1111",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "330710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE FIRSTPLAN",
            "identifier": "120013",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS",
            "identifier": "8399SE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "110199",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373355600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5900091",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "7280023",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Friend Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.