Minnesotawest Home Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

380470 Issued in MN

Legal business name

MINNESOTAWEST HOME HEALTHCARE INC

Practice address

3403 Kilmer LN N
Plymouth, MN 55441-2415

Phone

(763) 432-9172

Fax

(763) 276-9930

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Kennedy Mogere

Title

President

Phone

(763) 458-9072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1700243649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 KILMER LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412415",
            "telephone_number": "763-432-9172",
            "fax_number": "763-276-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 KILMER LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412415",
            "telephone_number": "763-432-9172",
            "fax_number": "763-276-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTAWEST HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "MOGERE",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-458-9072"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "380470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.