Fairview Home Care and Hospice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAIRVIEW HOME CARE AND HOSPICE

Doing business as

Fairview Home Care Clinic

Practice address

2450 26TH Ave S
Minneapolis, MN 55406-1245

Phone

(952) 924-7031

NPI assigned

Jan 3, 2017

Last updated

Jun 17, 2020By 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

Pamela Halvorson

Title

President/MNG Emp/Director/Ao

Phone

(612) 728-2240

Specialties & licenses 1

Addresses

Other names 1

• Fairview Home Care Clinic Doing business as

Locations

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.

• Karen Leutner, PT

  • Physical Therapist
  • Glen Burnie, MD
  • NPI 1265468052
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1578008355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-672-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 26TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061245",
            "telephone_number": "952-924-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW HOME CARE AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT/MNG EMP/DIRECTOR/AO",
        "authorized_official_telephone_number": "612-728-2240"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Home Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Home Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fairview Health Services (University of MN Medical Center, Fairview Transitional Care)
• Fairview Health Services (UMMC, Fairview (Psych Unit))
• Fairview Health Services
• Fairview Health Services (Fairview Acute Rehabilitation Center)
• Fairview Home Care and Hospice
• Fairview Home Care and Hospice
• Fairview Pharmacy Service LLC (Fairview Riverside University Clinic MTM)
• Fairview Pharmacy Service LLC (Fairview Smileys Family Medicine Clinic MTM)
• Fairview Pharmacy Service LLC (M Health Fairview Children's Clinic MTM)
• Fairview Pharmacy Services (Fairview Cystic Fibrosis Clinic Peds MTM)

• Family Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.