NPIMap

Organization Active NPI

Caring Heart Home Healthcrae, LLC

  • Home Health Aide
  • Minneapolis, MN
National Provider Identifier
1497371439
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CARING HEART HOME HEALTHCRAE, LLC
Practice address
1200 W Broadway Ave # 130
Minneapolis, MN 55411-2572
Phone
(612) 298-8037
Fax
(952) 303-4664
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Ms. Darshae Decole Underwood
Title
Owner of Operations
Phone
(612) 298-8037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1200 W Broadway Ave # 130
Minneapolis, MN 55411-2572

Mailing address

1200 W Broadway Ave # 130
Minneapolis, MN 55411-2572
Phone (612) 298-8037

Other identifiers 1

IdentifierTypeStateIssuer
A065413300OtherMNHOME HEALTHCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL caringhearthhc@yahoo.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1497371439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W BROADWAY AVE # 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112572",
            "telephone_number": "612-298-8037",
            "fax_number": "952-303-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W BROADWAY AVE # 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112572",
            "telephone_number": "612-298-8037",
            "fax_number": "952-303-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEART HOME HEALTHCRAE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DARSHAE",
        "authorized_official_middle_name": "DECOLE",
        "authorized_official_title_or_position": "OWNER OF OPERATIONS",
        "authorized_official_telephone_number": "612-298-8037",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTHCARE",
            "identifier": "A065413300",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caringhearthhc@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 W Broadway Ave # 130",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554112572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.