All Homecaring Minnesota Inc

Organization Active NPI Home Health Agency · Columbia Heights, MN

NPI 1609587229 · NPPES record last updated Dec 6, 2022

Key facts

NPI
1609587229
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
ALL HOMECARING MINNESOTA INC
Practice address
4200 Central Ave NE
Columbia Heights, MN 55421-2920
Phone
(612) 378-1474
Fax
(612) 378-1570
NPI assigned
Dec 6, 2022
Organization subpart
No

Authorized official

Name
Donna Liveringhouse
Title
Owner
Phone
(612) 378-1474

Owners & managing parties with NPI records 1

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

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Medicare Care Compare: Home health agency

Listed as
All Homecaring Minnesota CCN 247113
Ownership
Proprietary
Certified
Nov 9, 1981
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Home health agency certification: CCN 247113

Legal name
ALL HOMECARING MINNESOTA, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 9, 1981
Last certification
Dec 26, 2019
Ownership / control type
Proprietary
Organization structure
Corporation · Proprietary
Incorporated
Sep 27, 2020 in MN
Enrollment address
4200 Central Ave NE
Columbia Heights, MN 55421-2920

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Julie S Liveringhouse
Individual
5% Or Greater Direct Ownership Interest Jan 1, 2022 15%
Corporate Director
Rachel Taylor-Director of Nursin
Jan 1, 2022
W-2 Managing Employee Jan 1, 2022
Rachel K Taylor
Individual
W-2 Managing Employee
Director of Nursing
Jan 1, 2022
Mark L Liveringhouse
Individual
5% Or Greater Direct Ownership Interest Jan 1, 2022 15%
John D Liveringhouse
Individual
5% Or Greater Direct Ownership Interest Jan 1, 2022 15%
Corporate Director
Board Member
Jan 1, 2022
Matthew L Liveringhouse
Individual
5% Or Greater Direct Ownership Interest Jan 1, 2022 15%
Corporate Officer
Cfo
Jan 1, 2022
Corporate Director
Board Member
Jan 1, 2022
Carin M Becker
Individual
5% Or Greater Direct Ownership Interest Jan 1, 2022 15%
Corporate Director
Board Member
Jan 1, 2022
Donna S Liveringhouse
Individual
5% Or Greater Direct Ownership Interest Jan 1, 2022 25%
Corporate Officer
Ceo/Administrator
Jan 1, 2022

Change-of-ownership history

DateEventCounterparty
Jan 1, 2022 Change of Ownership
This provider was the buyer
All Homecaring
CCN 247113 · MN · NPI 1700928918

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230103002310 MN Part a Provider - Home Health Agency 1951771294 Practice locations: Columbia Heights, MN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

4200 Central Ave NE
Columbia Heights, MN 55421-2920

Mailing address

4200 Central Ave NE
Columbia Heights, MN 55421-2920
Phone (612) 378-1474

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2022.

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1609587229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CENTRAL AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212920",
            "telephone_number": "612-378-1474",
            "fax_number": "612-378-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CENTRAL AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212920",
            "telephone_number": "612-378-1474",
            "fax_number": "612-378-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL HOMECARING MINNESOTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "LIVERINGHOUSE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-378-1474"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

All providers in Columbia Heights, MN · Home Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.