NPIMap

Organization Active NPI

Provide Care, Inc.

  • Social Worker
  • North Branch, MN
National Provider Identifier
1669549887
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
045822800 Issued in MN
Legal business name
PROVIDE CARE, INC.
Practice address
4722 Isanti TRL
North Branch, MN 55056-5420
Phone
(651) 674-8312
Fax
(651) 674-8299
NPI assigned
Nov 30, 2006
Last updated
Apr 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Susan Kay Rod
Title
Comptroller
Phone
(651) 674-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 045822800 MN Primary

Addresses

Primary practice location

4722 Isanti TRL
North Branch, MN 55056-5420

Mailing address

PO Box 538
North Branch, MN 55056-0538
Phone (651) 674-8312

National Provider Directory

National Provider Directory
Tax ID family
Provide 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.

Locations

4722 Isanti Trl
North Branch, MN 55056
Phone (651) 674-8312

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1669549887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550560538",
            "telephone_number": "651-674-8312",
            "fax_number": "651-674-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 ISANTI TRL",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550565420",
            "telephone_number": "651-674-8312",
            "fax_number": "651-674-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "ROD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "651-674-8312"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MN",
            "license": "045822800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.