Organization Active NPI

Hedstromhealth LLC

  • In Home Supportive Care Agency
  • Lakeville, MN
National Provider Identifier
1528801115
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEDSTROMHEALTH LLC
Practice address
18379 Ixonia Ave
Lakeville, MN 55044-8922
Phone
(952) 236-0292
Fax
(952) 236-0292
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Rhonda Hedstrom
Title
Owner
Phone
(770) 865-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

18379 Ixonia Ave
Lakeville, MN 55044-8922

Mailing address

18379 Ixonia Ave
Lakeville, MN 55044-8922
Phone (952) 236-0292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1528801115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18379 IXONIA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448922",
            "telephone_number": "952-236-0292",
            "fax_number": "952-236-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18379 IXONIA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448922",
            "telephone_number": "952-236-0292",
            "fax_number": "952-236-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDSTROMHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "HEDSTROM",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-865-8827"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 Jun 13, 2024; 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.