Organization Active NPI

Purple Vine Home Care

  • Home Health Agency
  • Brooklyn Center, MN
National Provider Identifier
1568101467
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURPLE VINE HOME CARE
Practice address
3018 Thurber Rd
Brooklyn Center, MN 55429-1858
Phone
(763) 227-8846
Fax
(763) 592-8085
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Angelique B KapilaNPI 1851953343
Title
Owner/ Assisted Living Director
Phone
(763) 227-8846

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 Primary

Addresses

Primary practice location

3018 Thurber Rd
Brooklyn Center, MN 55429-1858

Mailing address

13888 88TH St NE
Otsego, MN 55330-0079
Phone (763) 227-8846

Other identifiers 1

IdentifierTypeStateIssuer
1851953343OtherMNGROUP HOME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angeliquek@risenhome.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1568101467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13888 88TH ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553300079",
            "telephone_number": "763-227-8846",
            "fax_number": "763-592-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 THURBER RD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291858",
            "telephone_number": "763-227-8846",
            "fax_number": "763-592-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE VINE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "KAPILA",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ ASSISTED LIVING DIRECTOR",
        "authorized_official_telephone_number": "763-227-8846"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HOME",
            "identifier": "1851953343",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angeliquek@risenhome.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3018 Thurber Rd",
            "city": "Brooklyn Center",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.