Homebase Support Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HOMEBASE SUPPORT SERVICES LLC

Practice address

14889 Nokay Lake Rd
Brainerd, MN 56401-5595

Phone

(218) 831-8710

NPI assigned

May 18, 2024

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

HOMEBASE HOUSING SERVICES INCAs reported in NPPES

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

Authorized official

Name

Ryan Christopher Menzel

Title

President

Phone

(218) 831-8710

Specialties & licenses 4

Addresses

Part of

Homebase Housing Services Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Homebase Housing Services Inc

  • Case Management Agency
  • Brainerd, MN
  • NPI 1053084475
  NPPES parent name

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1659120830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14889 NOKAY LAKE RD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564015595",
            "telephone_number": "218-831-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14889 NOKAY LAKE RD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564015595",
            "telephone_number": "218-831-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBASE SUPPORT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMEBASE HOUSING SERVICES INC",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MENZEL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-831-8710"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Holloway
• Maria Danielle Holm, MSW, LICSW
• Kesha Lorraine Holst, MSW, LICSW
• Desiree Holzer
• Homebase Housing Services Inc
• Hoskins Enterprises LLC Dba Brainerd Area Taxi
• Erin Host, PHARMD
• Abby Huck
• Sara Jo Hunt, OTR/L, ATC
• Imagine Perspectives

• Case Management Agency in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.