Organization Active NPI

Scott Home Care

Doing business as Scott Home Care INC

  • Assisted Living Facility
  • Savage, MN
National Provider Identifier
1659083517
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SCOTT HOME CARE
Doing business as
Scott Home Care INC
Practice address
5472 W 143Rd St
Savage, MN 55378-2802
Phone
(612) 532-5301
NPI assigned
Dec 21, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Deeqo Yusuf QanyareNPI 1023775392
Title
Director
Phone
(612) 532-5301

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
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5472 W 143Rd St
Savage, MN 55378-2802

Mailing address

5472 W 143Rd St
Savage, MN 55378-2802
Phone (612) 532-5301

Other names 1

  • Scott Home Care INC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL scottcarehome@gmail.com Other

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2286553Scott Care Home Inc5472 W 143Rd Street, Savage, MN 55378Certificate of waiverJul 31, 2027

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1659083517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 W 143RD ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782802",
            "telephone_number": "612-532-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 W 143RD ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782802",
            "telephone_number": "612-532-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "QANYARE",
        "authorized_official_first_name": "DEEQO",
        "authorized_official_middle_name": "YUSUF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-532-5301"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scottcarehome@gmail.com",
            "affiliation": "N",
            "endpointDescription": "scottcarehome@gmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "scottcarehome@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5472 W 143rd St",
            "city": "Savage",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553782802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Scott Home Care INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.