Acute Home Health Care of MN

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1039688-2-AFC Issued in MN

Legal business name

ACUTE HOME HEALTH CARE OF MN

Practice address

6385 Old Shady Oak Rd Ste 250
Eden Prairie, MN 55344-7705

Phone

(952) 361-0080

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kimloan Sloss, RN, PHNNPI 1659089118

Title

Director of Nursing

Phone

(952) 361-0080

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• TRANQUIL LIVING Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimloan Sloss

  • Nurse Practitioner
  • Chaska, MN
  • NPI 1659089118
  NPD Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541894400000",
    "number": "1689797102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 OLD SHADY OAK RD",
            "address_2": "STE 250",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443299",
            "telephone_number": "952-361-0080",
            "fax_number": "952-448-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 OLD SHADY OAK RD STE 250",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447705",
            "telephone_number": "952-361-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2521 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Mound",
            "state": "MN",
            "postal_code": "553641916",
            "country_code": "US",
            "telephone_number": "952-361-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Ravoux Ln",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553182526",
            "country_code": "US",
            "telephone_number": "952-361-0080",
            "fax_number": "952-448-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACUTE HOME HEALTH CARE OF MN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-11-11",
        "status": "A",
        "authorized_official_last_name": "SLOSS",
        "authorized_official_first_name": "KIMLOAN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "952-361-0080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, PHN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1039688-2-AFC",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1039690-2-AFC",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "34050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN- CODE 18 FOR HOME AND COMMUNITY BASED SERVICES",
            "identifier": "34050",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-CODE 18 FOR HOME AND COMMUNITY BASED SERVICES",
            "identifier": "242275100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE HOME CARE",
            "identifier": "387817",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRANQUIL LIVING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRANQUIL LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.