Specialized Home Health Care Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPECIALIZED HOME HEALTH CARE SERVICES, INC

Practice address

15978 Hyland Pointe CT
Apple Valley, MN 55124-7063

Phone

(952) 221-0083

Fax

(952) 953-4528

NPI assigned

Dec 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmy JJ Phouisangiem

Title

Director

Phone

(952) 221-0083

Specialties & licenses 1

Addresses

Tax ID family

Specialized Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Specialized Home Health Care Inc

  • Home Health Agency
  • Little Canada, MN
  • NPI 1811422686
  NPD tax ID

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.

• Chanda Dalida Vongprasert

  • Specialist
  • Apple Valley, MN
  • NPI 1750447249
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659437168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15978 HYLAND PT. CT.",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "952-221-0083",
            "fax_number": "952-953-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15978 HYLAND POINTE CT",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247063",
            "telephone_number": "952-221-0083",
            "fax_number": "952-953-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED HOME HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHOUISANGIEM",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "JJ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-221-0083"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Som, OTS, OTR/L
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• Leah Suzanne Sorenson, OTR/L
• Southview Counseling, LLC
• Melinda Faith Spanier
• Spectrum Care Services (Spectrum Care)
• Spectrum Development Center Service Corporation
• Spectrum of Hope LLC
• Melinda Erin Spike, LAC, COMT, CHC
• Spinefocus Physical Therapy LLC

• Home Health Agency in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.