A2C Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A2C HOME HEALTH

Practice address

19182 Hoover St NW
Elk River, MN 55330-8646

Phone

(810) 498-8004

NPI assigned

Jul 22, 2024

Organization subpart

No

Name

Bannister L Mwaanga

Title

Owner

Phone

(810) 498-8004

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2024.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1669200770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19182 HOOVER ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553308646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19182 HOOVER ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553308646",
            "telephone_number": "810-498-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A2C HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "MWAANGA",
        "authorized_official_first_name": "BANNISTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-498-8004"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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