Caretaker Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARETAKER HEALTH INC

Practice address

12810 30TH Ave N
Plymouth, MN 55441-2710

Phone

(612) 850-4664

Fax

(763) 550-9878

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Anna Shagalova

Title

Owner

Phone

(612) 850-4664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1437555216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 30TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412710",
            "telephone_number": "612-850-4664",
            "fax_number": "763-550-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 30TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412710",
            "telephone_number": "612-850-4664",
            "fax_number": "763-550-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETAKER HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "SHAGALOVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-850-4664"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caroline Carlson
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• Kristin Carpenter, LMT
• Heather M. Carr, DDS

• Home Health Agency in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.