Organization Active NPI

Patience in-Home Care Pca Services LLC

  • In Home Supportive Care Agency
  • Andover, MN
National Provider Identifier
1619613551
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PATIENCE IN-HOME CARE PCA SERVICES LLC
Practice address
2705 Bunker Lake Blvd NW Ste 105
Andover, MN 55304-3785
Phone
(763) 432-5459
Fax
(612) 464-0770
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mrs. Patience Kweworkwa Nixon, RNNPI 1104430180
Title
Ceo
Phone
(763) 528-1285

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2705 Bunker Lake Blvd NW Ste 105
Andover, MN 55304-3785

Mailing address

2705 Bunker Lake Blvd NW Ste 105
Andover, MN 55304-3785
Phone (763) 432-5459

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": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1619613551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD NW STE 105",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043785",
            "telephone_number": "763-432-5459",
            "fax_number": "612-464-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD NW STE 105",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043785",
            "telephone_number": "763-432-5459",
            "fax_number": "612-464-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENCE IN-HOME CARE PCA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "KWEWORKWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-528-1285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.