Organization Active NPI

Advocate Healthcare Services

  • Home Health Registered Nurse
  • Plymouth, MN
National Provider Identifier
1689497026
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
ADVOCATE HEALTHCARE SERVICES
Practice address
17910 28TH Ave N
Plymouth, MN 55447-1625
Phone
(763) 317-0563
Fax
(763) 205-8871
NPI assigned
Nov 4, 2024
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Mr. Kenneth Kasongo Chowa
Title
Ceo and Administrator
Phone
(651) 410-9126

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X

Addresses

Primary practice location

17910 28TH Ave N
Plymouth, MN 55447-1625

Mailing address

17910 28TH Ave N
Plymouth, MN 55447-1625
Phone (651) 410-9126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1689497026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17910 28TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471625",
            "telephone_number": "651-410-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17910 28TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471625",
            "telephone_number": "763-317-0563",
            "fax_number": "763-205-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "CHOWA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "KASONGO",
        "authorized_official_title_or_position": "CEO AND ADMINISTRATOR",
        "authorized_official_telephone_number": "651-410-9126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.