Organization Active NPI

My Nurses Care Health Services, LLC

Doing business as MNCare Health Services, LLC

  • Home Health Agency
  • Saint Michael, MN
National Provider Identifier
1548737547
Registry record updated Oct 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MY NURSES CARE HEALTH SERVICES, LLC
Doing business as
MNCare Health Services, LLC
Practice address
4355 Kady Ave NE
Saint Michael, MN 55376-8498
Phone
(763) 291-5198
NPI assigned
Oct 28, 2018
Last updated
Oct 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2018

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

Authorized official

Name
Ms. Connie Z Melchizedek
Title
Owner/Manager
Phone
(763) 291-5198

Specialties & licenses 1

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

Addresses

Primary practice location

4355 Kady Ave NE
Saint Michael, MN 55376-8498

Mailing address

4355 Kady Ave NE
Saint Michael, MN 55376-8498
Phone (763) 291-5198

Other identifiers 1

IdentifierTypeStateIssuer
384924OtherMNCOMPREHENSIVE HOME CARE LICENSE

Other names 1

  • MNCare Health Services, LLC Doing business as

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": "1540684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540684800000",
    "number": "1548737547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 KADY AVE NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553768498",
            "telephone_number": "763-291-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 KADY AVE NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553768498",
            "telephone_number": "763-291-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NURSES CARE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A",
        "authorized_official_last_name": "MELCHIZEDEK",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "763-291-5198",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE HOME CARE LICENSE",
            "identifier": "384924",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MNCare Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Michael, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; 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.