Organization Active NPI

Piedmont Supportive Services

  • Home Health Agency
  • Apple Valley, MN
National Provider Identifier
1437867363
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PIEDMONT SUPPORTIVE SERVICES
Practice address
15831 Griffon Path
Apple Valley, MN 55124-6661
Phone
(952) 406-0767
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Mustafa Madar
Title
Owner
Phone
(952) 406-0767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15831 Griffon Path
Apple Valley, MN 55124-6661

Mailing address

15831 Griffon Path
Apple Valley, MN 55124-6661
Phone (952) 406-0767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1437867363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15831 GRIFFON PATH",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246661",
            "telephone_number": "952-406-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15831 GRIFFON PATH",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246661",
            "telephone_number": "952-406-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "MADAR",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-406-0767"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.