Thanacare, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THANACARE, LLC

Practice address

3621 Abbott Ave S
Minneapolis, MN 55410-1033

Phone

(855) 698-4262

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Justin Hallen

Title

Vice President

Phone

(763) 360-5135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1679149389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 ABBOTT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101033",
            "telephone_number": "855-698-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ABBOTT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101033",
            "telephone_number": "855-698-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "HALLEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "763-360-5135"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis J Thackeray, PHARMD
• Dylan Thaemert
• Madison Thalacker, PA-S
• Mary P. Thalhuber, PSY.D., L.P.
• Rajesh Thampy, MD
• Rebeccca Thaney-Driessen
• Ah Thao-Vang, APRN, CPNP-PC
• Angelina Cua Thao
• Bao Shirley Thao, DMD
• Kaitlyn Rose Thao

• Internal Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.