Active NPI
Enriching Home Care Services, LLC
- Respite Care
- Maple Grove, MN
National Provider Identifier
1437872413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | k.clark@enrichinghomecareservice.com |
National Provider Directory
National Provider Directory- Tax ID family
- Enriching Home Care Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Plymouth, MN
- NPI 1154161131
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.