Organization Active NPI

Remedios Home Healthcare Services

  • Home Health Agency
  • Braham, MN
National Provider Identifier
1508015504
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
341818 Issued in MN
Legal business name
REMEDIOS HOME HEALTHCARE SERVICES
Practice address
41949 Rice Lake Rd NE
Braham, MN 55006-3117
Phone
(763) 244-7334
Fax
(866) 605-0893
NPI assigned
Sep 15, 2008
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Mrs. Shirley Carlos Ontiveros
Title
Administrator
Phone
(763) 244-7334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 341818 MN Primary

Addresses

Primary practice location

41949 Rice Lake Rd NE
Braham, MN 55006-3117

Mailing address

41949 Rice Lake Rd NE
Braham, MN 55006-3117
Phone (763) 244-7334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1508015504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41949 RICE LAKE RD NE",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "550063117",
            "telephone_number": "763-244-7334",
            "fax_number": "866-605-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41949 RICE LAKE RD NE",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "550063117",
            "telephone_number": "763-244-7334",
            "fax_number": "866-605-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDIOS HOME HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "ONTIVEROS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-244-7334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "341818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braham, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.