Active NPI
Mvna
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1700875101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 324640
- Legal business name
- MVNA
- Practice address
- 2000 Summer Street NE
Suite 100
Minneapolis, MN 55413 - Phone
- (612) 617-4600
- Fax
- (612) 617-4782
- NPI assigned
- Oct 18, 2005
- 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
- Dr. Jeanette A. Van Liew
- Title
- Ceo
- Phone
- (612) 617-4671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 324640 | MN | Primary |
Addresses
Primary practice location
2000 Summer Street NE
Suite 100
Minneapolis, MN 55413
Mailing address
2000 Summer Street NE
Suite 100
Minneapolis, MN 55413
Phone (612) 617-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 569253900 | Medicaid | MN |
Other names 1
- Minnesota Visiting Nurse Agency
National Provider Directory
National Provider Directory- Tax ID family
- Minnesota Visiting Nurse Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Minneapolis, MN
- NPI 1417287806
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2021 E Hennepin Ave
Ste 230
Minneapolis, MN 55413
Phone (612) 617-4672
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Milwaukee, WI
- NPI 1124101886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423699200000",
"number": "1700875101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SUMMER STREET NE",
"address_2": "SUITE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55413",
"telephone_number": "612-617-4600",
"fax_number": "612-617-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SUMMER STREET NE",
"address_2": "SUITE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55413",
"telephone_number": "612-617-4600",
"fax_number": "612-617-4782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVNA",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-18",
"last_updated": "2015-02-12",
"status": "A",
"authorized_official_last_name": "VAN LIEW",
"authorized_official_first_name": "JEANETTE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-617-4671",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "324640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "569253900",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Minnesota Visiting Nurse Agency",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.