Active NPI
King David Home Health Care
- Home Health Agency
- Cottage Grove, MN
National Provider Identifier
1497953236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 323248
- Legal business name
- KING DAVID HOME HEALTH CARE
- Practice address
- 7758 Janero CT
Cottage Grove, MN 55016-2217 - Phone
- (953) 935-1961
- Fax
- (952) 935-1978
- NPI assigned
- Jul 3, 2007
- 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
- Bonita Adams
- Title
- Owner
- Phone
- (651) 459-4433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 323248 | MN | Primary |
Addresses
Primary practice location
7758 Janero CT
Cottage Grove, MN 55016-2217
Mailing address
PO Box 229
Wayzata, MN 55391-0229
Phone (952) 935-1961
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184889600000",
"number": "1497953236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 229",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553910229",
"telephone_number": "952-935-1961",
"fax_number": "952-935-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7758 JANERO CT",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550162217",
"telephone_number": "953-935-1961",
"fax_number": "952-935-1978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KING DAVID HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-20",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "BONITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-459-4433"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "323248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.