Medicare Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDICARE HOME CARE

Practice address

8441 Wayzata Blvd
Suite 130
Golden Valley, MN 55426-1344

Phone

(763) 546-1000

Fax

(763) 546-1018

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Kevin L Sullivan

Title

President

Phone

(763) 546-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1508035973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD",
            "address_2": "SUITE 130",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261344",
            "telephone_number": "763-546-1000",
            "fax_number": "763-546-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD",
            "address_2": "SUITE 130",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261344",
            "telephone_number": "763-546-1000",
            "fax_number": "763-546-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICARE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-546-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A McMonagle, LICSW
• Kimberly Nicole McNally, DNP, CNM, FNP-C
• Ryan Michael Meade, MS, LPCC
• Meadow Ridge Senior Living
• Mehret Medhanie, NP
• Medlab Inc
• Medway Support Services. LLC
• Meisa Transportation Services, LLC
• Paul Larry Melsness, MSPT
• Mercy Home Health Inc

• Home Health Agency in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.