Individual provider Active NPI

Maria Rehlander

  • Home Health Agency
  • Plymouth, MN
National Provider Identifier
1659080224
Registry record updated Nov 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
409474 Issued in MN
Practice address
6140 Quinwood LN N Apt 4116
Plymouth, MN 55442-1296
Phone
(952) 484-2179
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 409474 MN Primary

Addresses

Primary practice location

6140 Quinwood LN N Apt 4116
Plymouth, MN 55442-1296

Mailing address

13570 Grove Dr Ste 241
Maple Grove, MN 55311-4400
Phone (952) 484-2179

Other identifiers 1

IdentifierTypeStateIssuer
1902534050OtherMNNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.rehlander@nursenextdoor.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
409474MNMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Jac Three, LLC CurrentSince Nov 27, 2022 Accepting new patients

Locations

13570 Grove Dr N
Maple Grove, MN 55311
Phone (612) 888-4088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1659080224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 GROVE DR STE 241",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114400",
            "telephone_number": "952-484-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 QUINWOOD LN N APT 4116",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421296",
            "telephone_number": "952-484-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHLANDER",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "409474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902534050",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.rehlander@nursenextdoor.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6140 Quinwood Ln N Apt 4116",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554421296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; 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.