Organization Active NPI

Enriching Home Care Services, LLC

  • Respite Care
  • Maple Grove, MN
National Provider Identifier
1437872413
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
ENRICHING HOME CARE SERVICES, LLC
Practice address
9234 Upland LN N
Maple Grove, MN 55369-8454
Phone
(763) 232-4946
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Kejyana Clark
Title
Ceo
Phone
(763) 232-4946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

9234 Upland LN N
Maple Grove, MN 55369-8454

Mailing address

9234 Upland LN N
Maple Grove, MN 55369-8454
Phone (763) 232-4946

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL k.clark@enrichinghomecareservice.com

National Provider Directory

National Provider Directory
Tax ID family
Enriching Home Care Services 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": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1437872413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9234 UPLAND LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553698454",
            "telephone_number": "763-232-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9234 UPLAND LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553698454",
            "telephone_number": "763-232-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHING HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KEJYANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-232-4946"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "k.clark@enrichinghomecareservice.com",
            "affiliation": "N",
            "address_1": "9234 Upland Ln N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553698454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

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