Sistercare, LLC.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

SISTERCARE, LLC.

Practice address

311 S Nicollet St
Blue Earth, MN 56013-1313

Phone

(651) 332-0497

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Carolyn Mai Der Xiong, PHARMD

Title

Vice President

Phone

(651) 500-9886

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1669939054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 131ST LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481385",
            "telephone_number": "651-500-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S NICOLLET ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560131313",
            "telephone_number": "651-332-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MAI DER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "651-500-9886",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "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 Feb 21, 2019; 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.