Organization Active NPI

Healthnorth Home Care, Inc.

  • Home Health Agency
  • Saint Cloud, MN
National Provider Identifier
1669772059
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HFID-32042 Issued in MN
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

Updated by the provider on Jan 22, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HFID-32042OtherMNMN DEPARTMENT OF HEALTH-CLASS A NURSING LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.