NPIMap

Organization Active NPI

King David Home Health Care Services

  • Home Health Agency
  • Cottage Grove, MN
National Provider Identifier
1588832216
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KING DAVID HOME HEALTH CARE SERVICES
Practice address
7758 Janero CT
Cottage Grove, MN 55016-2217
Phone
(651) 459-5023
Fax
(651) 769-0788
NPI assigned
Feb 15, 2008
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Ms. Bonita L. Adams, BBC. DEGREE
Title
Ceo
Phone
(651) 459-5023

Specialties & licenses 1

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

Addresses

Primary practice location

7758 Janero CT
Cottage Grove, MN 55016-2217

Mailing address

7758 Janero Court So.
Cottage Grove, MN 55016
Phone (651) 459-5023

Other names 1

  • RELIANT HOME HEALTH CARE SERVIES Other name

National Provider Directory

National Provider Directory
Tax ID family
King David Home Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1588832216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 JANERO COURT SO.",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "55016",
            "telephone_number": "651-459-5023",
            "fax_number": "651-769-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 JANERO CT",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162217",
            "telephone_number": "651-459-5023",
            "fax_number": "651-769-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DAVID HOME HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-459-5023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BBC. DEGREE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RELIANT HOME HEALTH CARE SERVIES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.