Organization Active NPI

Mils Home Health Care Agency Inc

  • Home Health Agency
  • Woodbury, MN
National Provider Identifier
1598862708
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MILS HOME HEALTH CARE AGENCY INC
Practice address
6053 Hudson Rd Ste 200
Woodbury, MN 55125-1000
Phone
(612) 379-4027
Fax
(612) 379-3489
NPI assigned
Sep 20, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Mr. David Michael Bennerotte
Title
Ceo
Phone
(507) 269-1726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Custodial Care Facility 311Z00000X 330410 MN

Addresses

Primary practice location

6053 Hudson Rd Ste 200
Woodbury, MN 55125-1000

Mailing address

6053 Hudson Rd Ste 200
Woodbury, MN 55125-1000
Phone (612) 379-4027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000541 MN Part A Provider - Home Health Agency 8527106624 Practice locations: Woodbury, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598862708. Details of each certification follow.

Home health agency certification: CCN 248003

Legal name
MILS HOME HEALTH CARE AGENCY, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 9, 1994
Last certification
Aug 8, 2018
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Enrollment address
6053 Hudson Rd
Ste 200
Woodbury, MN 55125-1000

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mils Home Health Care AgencyCCN 248003 · All quality measures
Ownership
Proprietary
Certified
Sep 9, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

2520 Broadway St NE
Ste 205
Minneapolis, MN 55413
Phone (612) 379-4027

6053 Hudson Rd
Ste 200
Woodbury, MN 55125
Phone (612) 379-4027

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ryan R Norman Individual 5% Or Greater Direct Ownership InterestCeo Owner Nov 20, 2024 50%
Corporate OfficerCeo Owner Nov 20, 2024 50%
Corporate DirectorCeo Owner Nov 20, 2024 40%
Chantelle C Norman Individual Corporate DirectorAdministrator Oct 15, 2025 20%
W-2 Managing EmployeeAd; Aug 7, 2025 50%
Brett J Olson Individual 5% Or Greater Direct Ownership InterestPresident Owner Nov 20, 2024 50%
Corporate OfficerOwner Nov 20, 2024 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1598862708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 HUDSON RD STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251000",
            "telephone_number": "612-379-4027",
            "fax_number": "612-379-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6053 HUDSON RD STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251000",
            "telephone_number": "612-379-4027",
            "fax_number": "612-379-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILS HOME HEALTH CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "BENNEROTTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-269-1726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MN",
            "license": "330410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.