Organization Active NPI

RN Homecare Services LLC

  • Home Health Agency
  • Lakeville, MN
National Provider Identifier
1518624642
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RN HOMECARE SERVICES LLC
Practice address
17990 Ixonia Ave
Lakeville, MN 55044-9667
Phone
(612) 801-5100
NPI assigned
Nov 23, 2021
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Yasmin Mohamed NoorNPI 1407510647
Title
Nursing Director
Phone
(612) 801-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

17990 Ixonia Ave
Lakeville, MN 55044-9667

Mailing address

17990 Ixonia Ave
Lakeville, MN 55044-9667
Phone (612) 801-5100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1518624642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17990 IXONIA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449667",
            "telephone_number": "612-801-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17990 IXONIA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449667",
            "telephone_number": "612-801-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RN HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "NOOR",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "NURSING DIRECTOR",
        "authorized_official_telephone_number": "612-801-5100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.