Organization Active NPI

Greatercare Facilities, LLC

  • Home Health Agency
  • Woodbury, MN
National Provider Identifier
1699255372
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
33800 Issued in MN
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

Updated by the provider on Aug 21, 2018

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2165621Greatercare Facilities, LLC7159 Robinwood Trail, Woodbury, MN 55125Certificate of waiverMay 1, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.