Up North Angels LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

UP NORTH ANGELS LLC

Practice address

28276 149TH Ave
Sebeka, MN 56477-3002

Phone

(320) 905-3662

Fax

(218) 414-2722

NPI assigned

Oct 2, 2019

Last updated

Feb 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Oevermann

Title

Owner

Phone

(320) 905-3662

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1518508365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28276 149TH AVE",
            "city": "SEBEKA",
            "state": "MN",
            "postal_code": "564773002",
            "telephone_number": "320-905-3662",
            "fax_number": "218-414-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28276 149TH AVE",
            "city": "SEBEKA",
            "state": "MN",
            "postal_code": "564773002",
            "telephone_number": "320-905-3662",
            "fax_number": "218-414-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "OEVERMANN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-905-3662",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jane Jackson
• Linda Ann Knudson
• Madison Jo Lake
• Providence Villa
• Up North Angels LLC (Up North Angels)
• Wadena County
• Monica Watson, LICSW

• Home Health Registered Nurse in Sebeka, MN
• Providers in Sebeka, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.