Kinder Care Homecare Services

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

25296 Issued in MN

Legal business name

KINDER CARE HOMECARE SERVICES

Practice address

270 County Road 110 N
Minnetrista, MN 55364-8316

Phone

(952) 472-4635

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Beatrice Mogusero Morande, RN

Title

Director

Phone

(952) 472-4635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1497995203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 COUNTY ROAD 110 N",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553648316",
            "telephone_number": "952-472-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 COUNTY ROAD 110 N",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553648316",
            "telephone_number": "952-472-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER CARE HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "MORANDE",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "MOGUSERO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-472-4635",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": "25296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Humbert, LICSW
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• Kindercare Homecare Services
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• Matt Kowal
• Elizabeth Victoria Lewis, NURSE PRACTITIONER
• Janel R Miller, MOT OTRL

• Nursing Facility/Intermediate Care Facility in Minnetrista, MN
• Providers in Minnetrista, MN by specialty
• Nursing Facility/Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.