James J King Jr.

Individual provider Active NPI Home Health Aide · Zimmerman, MN

NPI 1548062870 · NPPES record last updated Mar 26, 2025

Key facts

NPI
1548062870
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
11641 283Rd Ave NW
Zimmerman, MN 55398-9504
Phone
(763) 221-8614
NPI assigned
Mar 26, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Royalty Holistic Home Care Current
since Mar 30, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X MN Yes

Addresses

Primary practice location

11641 283Rd Ave NW
Zimmerman, MN 55398-9504

Mailing address

11641 283Rd Ave NW
Zimmerman, MN 55398-9504
Phone (763) 221-8614

Other providers in Zimmerman, MN

All providers in Zimmerman, MN · Home Health Aide in Minnesota

Sources for this page

Verify at the official NPI Registry.