Organization Active NPI

King David Home Health Care

  • Home Health Agency
  • Cottage Grove, MN
National Provider Identifier
1497953236
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
323248 Issued in MN
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

Updated by the provider on Jul 20, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.