Active NPI
Healthnorth Home Care, Inc.
- Home Health Agency
- Saint Cloud, MN
National Provider Identifier
1669772059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HFID-32042
- Legal business name
- HEALTHNORTH HOME CARE, INC.
- Practice address
- 1320 32ND Ave N
Suite 170
Saint Cloud, MN 56303-1612 - Phone
- (320) 260-5280
- Fax
- (320) 281-5317
- NPI assigned
- Nov 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay Adam Johnson
- Title
- Ceo
- Phone
- (320) 260-5280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HFID-32042 | MN | Primary |
Addresses
Primary practice location
1320 32ND Ave N
Suite 170
Saint Cloud, MN 56303-1612
Mailing address
1320 32ND Ave N
Suite 170
Saint Cloud, MN 56303-1612
Phone (320) 260-5280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HFID-32042 | Other | MN | MN DEPARTMENT OF HEALTH-CLASS A NURSING LICENSE |
National Provider Directory
National Provider DirectoryLocations
1320 32nd Ave N
Ste 170
Saint Cloud, MN 56303
Phone (320) 260-5280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453420800000",
"number": "1669772059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 32ND AVE N",
"address_2": "SUITE 170",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031612",
"telephone_number": "320-260-5280",
"fax_number": "320-281-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 32ND AVE N",
"address_2": "SUITE 170",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031612",
"telephone_number": "320-260-5280",
"fax_number": "320-281-5317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHNORTH HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-01",
"last_updated": "2016-01-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "ADAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "320-260-5280",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "HFID-32042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN DEPARTMENT OF HEALTH-CLASS A NURSING LICENSE",
"identifier": "HFID-32042",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.