Organization Active NPI

Accolade Home Healthcare

  • Home Health Agency
  • Woodbury, MN
National Provider Identifier
1699516831
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACCOLADE HOME HEALTHCARE
Practice address
4830 Airlake Dr
Woodbury, MN 55129-5729
Phone
(651) 492-9009
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Judy Loretz, RN
Title
Co-Owner
Phone
(651) 492-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4830 Airlake Dr
Woodbury, MN 55129-5729

Mailing address

4830 Airlake Dr
Woodbury, MN 55129-5729
Phone (651) 492-9009

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
24D2311116Accolade Home Healthcare4830 Airlake Dr, Woodbury, MN 55129Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1699516831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 AIRLAKE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551295729",
            "telephone_number": "651-492-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 AIRLAKE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551295729",
            "telephone_number": "651-492-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOLADE HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "LORETZ",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "651-492-9009",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "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 Jun 3, 2024; 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.