Buena Vista Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BUENA VISTA HOME CARE LLC

Practice address

4000 Elmwood St
Vadnais Heights, MN 55127

Phone

(651) 235-9263

Fax

(651) 426-8117

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By 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

Maria Offelia Gomez, RN

Title

Ceo

Phone

(651) 235-9263

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1518681659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ELMWOOD ST",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "55127",
            "telephone_number": "651-235-9263",
            "fax_number": "651-426-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ELMWOOD ST",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "55127",
            "telephone_number": "651-235-9263",
            "fax_number": "651-426-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "OFFELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-235-9263",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Christopher Brendtro, O.D.
• Caitlin Broberg
• Connor Brown
• Ally E Brugler, PT
• Grace Bryant, MA, LPCC, LADC
• Blake Scott Buetow, DPT
• Phillip Buganski, LAT, OTC
• Aleeta W Butkus, PT
• Calle Bye, PT
• Haley Rose Campbell, PA-C

• Home Health Agency in Vadnais Heights, MN
• Providers in Vadnais Heights, 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 Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.