NPIMap

Organization Active NPI

Life'S Companion P.C.a., Inc.

  • Home Health Agency
  • Blaine, MN
National Provider Identifier
1487939138
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE'S COMPANION P.C.A., INC.
Practice address
10307 University Ave NE
Blaine, MN 55434-8026
Phone
(763) 786-3439
Fax
(763) 783-3528
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Mrs. Trisha T Rohde
Title
Administrator
Phone
(763) 786-3439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10307 University Ave NE
Blaine, MN 55434-8026

Mailing address

10307 University Ave NE
Blaine, MN 55434-8026
Phone (763) 786-3439

Other identifiers 1

IdentifierTypeStateIssuer
A696845700MedicaidMN

National Provider Directory

National Provider Directory

Locations

10307 University Ave NE
Blaine, MN 55434
Phone (763) 786-3439

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1487939138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10307 UNIVERSITY AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554348026",
            "telephone_number": "763-786-3439",
            "fax_number": "763-783-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10307 UNIVERSITY AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554348026",
            "telephone_number": "763-786-3439",
            "fax_number": "763-783-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S COMPANION P.C.A., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "ROHDE",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-786-3439",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A696845700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.