NPIMap

Organization Active NPI

Compassionate Care Network LLC

  • Home Health Agency
  • Crystal, MN
National Provider Identifier
1659697902
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
348216 Issued in MN
Legal business name
COMPASSIONATE CARE NETWORK LLC
Practice address
6000 Bass Lake Rd
Suite 107
Crystal, MN 55429-2700
Phone
(763) 535-5661
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Mr. Marcus Jenkins
Title
President
Phone
(763) 535-5661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 348216 MN Primary

Addresses

Primary practice location

6000 Bass Lake Rd
Suite 107
Crystal, MN 55429-2700

Mailing address

6000 Bass Lake Rd
Suite 107
Crystal, MN 55429-2700
Phone (763) 535-5661

National Provider Directory

National Provider Directory

Locations

6000 Bass Lake Rd
Ste 107
Crystal, MN 55429
Phone (763) 535-5661

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1659697902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD",
            "address_2": "SUITE 107",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292700",
            "telephone_number": "763-535-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BASS LAKE RD",
            "address_2": "SUITE 107",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292700",
            "telephone_number": "763-535-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-535-5661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "348216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.