Brian McDonald

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

394396 Issued in MN

Practice address

9298 Central Ave NE Ste 202
Blaine, MN 55434-4217

Phone

(763) 205-4440

Fax

(763) 205-4403

NPI assigned

Nov 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caregivers Making a Difference

  • Home Health Agency
  • Andover, MN
  • NPI 1184046963
  NPD Authorized official

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1477022317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9298 CENTRAL AVE NE STE 202",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344217",
            "telephone_number": "763-205-4440",
            "fax_number": "763-205-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9298 CENTRAL AVE NE STE 202",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344217",
            "telephone_number": "763-205-4440",
            "fax_number": "763-205-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "387743",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MN",
            "license": "387743",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": "387743",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "387743",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MN",
            "license": "387743",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MN",
            "license": "387743",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "394396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DEPARTMENT OF HEALTH LICENSE",
            "identifier": "397396",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxton Agency LLC
• Muthiaru Mugethe Mburu, PHARMD
• Alisha Duffy McAfee, O.D.
• Shawn McCarthy, D.D.S., M.S.
• Melissa A McClellan, CNP
• Freda Herna-Hayes McIntosh
• Erin M McLain, MD
• Corine Nicole McLellan, DDS
• Mary S. McMillan, MD
• Nawal Medaghri-Alaoui

• Home Health Aide in Blaine, MN
• Providers in Blaine, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.