Organization Active NPI

Acts of Kindness Home Health Care LLC

  • Home Health Agency
  • Stacy, MN
National Provider Identifier
1467093724
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACTS OF KINDNESS HOME HEALTH CARE LLC
Practice address
30161 Fox Run Rd
Stacy, MN 55079-9654
Phone
(651) 955-8957
Fax
(320) 327-2297
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Athena Carol Vasquez
Title
Owners
Phone
(651) 955-8957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

30161 Fox Run Rd
Stacy, MN 55079-9654

Mailing address

PO Box 183
Silver Lake, MN 55381-0183
Phone (651) 955-8957

Other identifiers 1

IdentifierTypeStateIssuer
0000000000MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1467093724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "SILVER LAKE",
            "state": "MN",
            "postal_code": "553810183",
            "telephone_number": "651-955-8957",
            "fax_number": "320-327-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30161 FOX RUN RD",
            "city": "STACY",
            "state": "MN",
            "postal_code": "550799654",
            "telephone_number": "651-955-8957",
            "fax_number": "320-327-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTS OF KINDNESS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNERS",
        "authorized_official_telephone_number": "651-955-8957"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stacy, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.