NPIMap

Organization Active NPI

Spectrum Home Health Care LLC

  • Home Health Agency
  • Saint Cloud, MN
National Provider Identifier
1437530946
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPECTRUM HOME HEALTH CARE LLC
Practice address
3403 22ND St S
Apt 304
Saint Cloud, MN 56301-5093
Phone
(612) 423-5419
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Ayanle Jama
Title
Owner
Phone
(612) 423-5419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3403 22ND St S
Apt 304
Saint Cloud, MN 56301-5093

Mailing address

3403 22ND St S
Apt 304
Saint Cloud, MN 56301-5093
Phone (612) 423-5419

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Home Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1437530946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 22ND ST S",
            "address_2": "APT 304",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015093",
            "telephone_number": "612-423-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 22ND ST S",
            "address_2": "APT 304",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015093",
            "telephone_number": "612-423-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "AYANLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-5419"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.