Active NPI
Greatercare Facilities, LLC
- Home Health Agency
- Woodbury, MN
National Provider Identifier
1699255372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 33800
- Legal business name
- GREATERCARE FACILITIES, LLC
- Practice address
- 7159 Robinwood TRL
Woodbury, MN 55125-2722 - Phone
- (651) 343-1472
- NPI assigned
- Aug 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miriam Egbudom
- Title
- LPM
- Phone
- (651) 343-1472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 33800 | MN | Primary |
Addresses
Primary practice location
7159 Robinwood TRL
Woodbury, MN 55125-2722
Mailing address
7159 Robinwood TRL
Woodbury, MN 55125-2722
Phone (651) 343-1472
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2165621 | Greatercare Facilities, LLC | Certificate of waiver | May 1, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534809600000",
"number": "1699255372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7159 ROBINWOOD TRL",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252722",
"telephone_number": "651-343-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7159 ROBINWOOD TRL",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252722",
"telephone_number": "651-343-1472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATERCARE FACILITIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A",
"authorized_official_last_name": "EGBUDOM",
"authorized_official_first_name": "MIRIAM",
"authorized_official_title_or_position": "LPM",
"authorized_official_telephone_number": "651-343-1472"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "33800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.