Organization Active NPI

Vision Quest Property Management, Inc.

  • Home Health Agency
  • White Bear Lake, MN
National Provider Identifier
1508016775
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
340275 Issued in MN
Legal business name
VISION QUEST PROPERTY MANAGEMENT, INC.
Practice address
5771 Meadowview Dr
White Bear Lake, MN 55110-2290
Phone
(651) 428-0646
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mr. Charles Robert Petrich
Title
President
Phone
(651) 428-0646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 340275 MN Primary

Addresses

Primary practice location

5771 Meadowview Dr
White Bear Lake, MN 55110-2290

Mailing address

5771 Meadowview Dr
White Bear Lake, MN 55110-2290
Phone (651) 428-0646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1508016775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 MEADOWVIEW DR",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102290",
            "telephone_number": "651-428-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 MEADOWVIEW DR",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102290",
            "telephone_number": "651-428-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION QUEST PROPERTY MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "PETRICH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-428-0646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "340275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.