Independent Endeavors LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1093726-1-HCBS Issued in NU

Legal business name

INDEPENDENT ENDEAVORS LLC

Practice address

1303 S Frontage Rd Ste 181
Hastings, MN 55033-2483

Phone

(651) 600-7804

NPI assigned

Apr 18, 2018

Last updated

Apr 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittney Jean Olsen

Title

Owner

Phone

(651) 283-8916

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1689161267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S FRONTAGE RD STE 181",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332483",
            "telephone_number": "651-600-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S FRONTAGE RD STE 181",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332483",
            "telephone_number": "651-600-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT ENDEAVORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-283-8916"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": "1093726-1-HCBS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Hastings, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.