Active NPI
Susan Rosette Dba Cardinal Comfort Care
- Home Health Agency
- Two Harbors, MN
National Provider Identifier
1477205276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUSAN ROSETTE DBA CARDINAL COMFORT CARE
- Practice address
- 713 12TH Ave
Two Harbors, MN 55616-1219 - Phone
- (218) 969-6183
- NPI assigned
- Jan 22, 2022
- 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
- Ms. Susan Marie Rosette, NAR, CMT, TMA DSS
- Title
- Owner Manager
- Phone
- (218) 969-6183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Assisted Living Facility | 310400000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
713 12TH Ave
Two Harbors, MN 55616-1219
Mailing address
713 12TH Ave
Two Harbors, MN 55616-1219
Phone (218) 969-6183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558988220 | Other | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- Two Harbors, MN
- NPI 1558988220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642809600000",
"number": "1477205276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 12TH AVE",
"city": "TWO HARBORS",
"state": "MN",
"postal_code": "556161219",
"telephone_number": "218-969-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 12TH AVE",
"city": "TWO HARBORS",
"state": "MN",
"postal_code": "556161219",
"telephone_number": "218-969-6183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN ROSETTE DBA CARDINAL COMFORT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-22",
"last_updated": "2022-01-22",
"certification_date": "2022-01-22",
"status": "A",
"authorized_official_last_name": "ROSETTE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER MANAGER",
"authorized_official_telephone_number": "218-969-6183",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NAR, CMT, TMA DSS"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1558988220",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Two Harbors, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.