Active NPI
Acts of Kindness Home Health Care LLC
- Home Health Agency
- Stacy, MN
National Provider Identifier
1467093724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2019
- 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
- Athena Carol Vasquez
- Title
- Owners
- Phone
- (651) 955-8957
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI 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.