Active NPI
Kenn Folks Home Care Services LLC
- In Home Supportive Care Agency
- Eagan, MN
National Provider Identifier
1639640667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- KENN FOLKS HOME CARE SERVICES LLC
- Practice address
- 860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567 - Phone
- (404) 889-9978
- NPI assigned
- Dec 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole B Mosely
- Title
- Owner
- Phone
- (404) 889-9978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567
Mailing address
126 Sweetwater Dr
Saint Paul, MN 55124-9756
Phone (404) 889-9978
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1639640667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 SWEETWATER DR",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551249756",
"telephone_number": "404-889-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 BLUE GENTIAN RD STE 200",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211567",
"telephone_number": "404-889-9978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENN FOLKS HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-17",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "MOSELY",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-889-9978"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.