Callina Healthcare Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

811486300028 Issued in MN

Legal business name

CALLINA HEALTHCARE SERVICES, LLC

Practice address

8617 Edinbrook Xing
Apt 443
Brooklyn Park, MN 55443

Phone

(763) 269-9313

NPI assigned

Feb 16, 2015

Last updated

Feb 16, 2015By 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

Mel Melchizeddek

Title

Co Ownner

Phone

(763) 269-9313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1437540242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 EDINBROOK XING",
            "address_2": "APT 443",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434016",
            "telephone_number": "763-269-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 EDINBROOK XING",
            "address_2": "APT 443",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-269-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLINA HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "MELCHIZEDDEK",
        "authorized_official_first_name": "MEL",
        "authorized_official_title_or_position": "CO OWNNER",
        "authorized_official_telephone_number": "763-269-9313"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "811486300028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.