Assist at Home Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ASSIST AT HOME CORPORATION

Practice address

17425 Judicial Rd
Lakeville, MN 55044-7631

Phone

(612) 978-5276

NPI assigned

Jul 14, 2023

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samedi Thidee Chan

Title

Vice President of Operations

Phone

(612) 978-5276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1427737667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 JUDICIAL RD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447631",
            "telephone_number": "612-978-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17425 JUDICIAL RD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447631",
            "telephone_number": "612-978-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSIST AT HOME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SAMEDI",
        "authorized_official_middle_name": "THIDEE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "612-978-5276"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.