NPIMap

Organization Active NPI

CK Home Health

  • Assisted Living Facility
  • Fergus Falls, MN
National Provider Identifier
1447553284
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
R168741-9 Issued in MN
Legal business name
CK HOME HEALTH
Practice address
106 N 4TH Ave
Fergus Falls, MN 56537-1034
Phone
(218) 998-3778
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Mrs. Farrah Dawn Rocksvold-Benitt
Title
Registered Nurse
Phone
(218) 449-2049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X R168741-9 MN Primary

Addresses

Primary practice location

106 N 4TH Ave
Fergus Falls, MN 56537-1034

Mailing address

26513 150TH Ave NE
Thief River Falls, MN 56701-8662

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 189

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 189

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1447553284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26513 150TH AVE NE",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567018662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N 4TH AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371034",
            "telephone_number": "218-998-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "ROCKSVOLD-BENITT",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "218-449-2049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "R168741-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.