Maxicare Minnesota, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAXICARE MINNESOTA, INC

Practice address

10700 Highway 55
Ste PH
Plymouth, MN 55441-6100

Phone

(612) 695-8953

Fax

(763) 390-5722

NPI assigned

Oct 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Veronica K Garley

Title

President

Phone

(612) 695-8953

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223078400000",
    "number": "1447401732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 HIGHWAY 55",
            "address_2": "STE PH",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416100",
            "telephone_number": "612-695-8953",
            "fax_number": "763-390-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 HIGHWAY 55",
            "address_2": "STE PH",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416100",
            "telephone_number": "612-695-8953",
            "fax_number": "763-390-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE MINNESOTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-04",
        "last_updated": "2008-10-04",
        "status": "A",
        "authorized_official_last_name": "GARLEY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-695-8953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey J. Mason, FNP-BC
• Miranda Massey, OTR/L
• Caroline Ruth Mathews, M.D.
• Beth W Matthews, LICSW
• Maverick Mental Health LLC
• Christopher Michael McAninch, M.D.
• Tanner James McArdle, MD
• Rachel Mae McCabe
• Ethan McCallum, PHD
• Kelly McCarthy, OD

• 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 Oct 4, 2008; 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.