Community Healthcare Service

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

356758 Issued in MN

Legal business name

COMMUNITY HEALTHCARE SERVICE

Practice address

14249 Hayes Rd
Apple Valley, MN 55124-6738

Phone

(952) 891-8038

Fax

(952) 891-8038

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Gloria Igwilohi Agbator, CO-OWNER

Title

Manager

Phone

(612) 636-3286

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1669730651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14249 HAYES RD",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246738",
            "telephone_number": "952-891-8038",
            "fax_number": "952-891-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14249 HAYES RD",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246738",
            "telephone_number": "952-891-8038",
            "fax_number": "952-891-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "AGBATOR",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "IGWILOHI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-636-3286",
        "authorized_official_credential": "CO-OWNER"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MN",
            "license": "356758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Collins, RD
• Joseph Collins, LPCC
• Carrie Ann Colon, CMT
• Sarah Comfort, MA, LPCC
• April Coming Hay, MD
• Comprehensive Health & Wellness PC
• Meredith Connelly
• Conscious Healing Center
• Patricia M Cook, MD
• Caitlin Mary Cooper, OTD, OTRL

• Custodial Care Facility in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Custodial Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.