Organization Active NPI

Devoted Home Health Care

  • In Home Supportive Care Agency
  • Minnetonka, MN
National Provider Identifier
1477377125
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEVOTED HOME HEALTH CARE
Practice address
11001 Bren Rd E
Suite 302
Minnetonka, MN 55343-5534
Phone
(763) 238-0569
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Nikisha Dixon
Title
Owner
Phone
(763) 238-0569

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

11001 Bren Rd E
Suite 302
Minnetonka, MN 55343-5534

Mailing address

11001 Bren Rd E Unit 302
Minnetonka, MN 55343-4442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1477377125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 BREN RD E UNIT 302",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553434442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 BREN RD E",
            "address_2": "SUITE 302",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553435534",
            "telephone_number": "763-238-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "NIKISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-238-0569"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.