Organization Active NPI

Minnesota Homeworks LLC

  • Home Modifications Contractor
  • Lake Crystal, MN
National Provider Identifier
1457018046
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
MINNESOTA HOMEWORKS LLC
Practice address
19204 U S Highway 169
Lake Crystal, MN 56055-2319
Phone
(507) 340-8746
NPI assigned
Nov 18, 2021
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Blake Kuiken
Title
Owner
Phone
(507) 340-8746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X NU Primary

Addresses

Primary practice location

19204 U S Highway 169
Lake Crystal, MN 56055-2319

Mailing address

19204 U S Highway 169
Lake Crystal, MN 56055-2319

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1457018046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19204 U S HIGHWAY 169",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19204 U S HIGHWAY 169",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552319",
            "telephone_number": "507-340-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA HOMEWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "KUIKEN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-340-8746"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.