NPIMap

Organization Active NPI

Minnesota Age and Opportunity

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1699774521
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02153 Issued in MN
Legal business name
MINNESOTA AGE AND OPPORTUNITY
Practice address
2021 E Hennepin Ave
Suite 200
Minneapolis, MN 55413-2700
Phone
(612) 617-7822
Fax
(612) 379-0732
NPI assigned
Jul 21, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nadine Mary Reiser, MBA
Title
Dir. of Senior Health and Nutrition
Phone
(612) 617-7817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02153 MN Primary

Addresses

Primary practice location

2021 E Hennepin Ave
Suite 200
Minneapolis, MN 55413-2700

Mailing address

2021 E Hennepin Ave
Suite 200
Minneapolis, MN 55413-2700
Phone (612) 617-7822

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699774521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "612-617-7822",
            "fax_number": "612-379-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "612-617-7822",
            "fax_number": "612-379-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA AGE AND OPPORTUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REISER",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DIR. OF SENIOR HEALTH AND NUTRITION",
        "authorized_official_telephone_number": "612-617-7817",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "02153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.