Active NPI
Forest Lake Home Care Inc
- Home Health Agency
- Forest Lake, MN
National Provider Identifier
1710238654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FOREST LAKE HOME CARE INC
- Practice address
- 631 Lake St S
Forest Lake, MN 55025-2631 - Phone
- (651) 272-5195
- Fax
- (651) 395-2934
- NPI assigned
- Oct 1, 2012
- Last updated
- Jun 26, 2014
- 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
- Paul Kreger
- Title
- Owner
- Phone
- (651) 272-5195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
631 Lake St S
Forest Lake, MN 55025-2631
Mailing address
631 Lake St S
Forest Lake, MN 55025-2631
Phone (651) 272-5195
National Provider Directory
National Provider DirectoryLocations
631 Lake St S
Forest Lake, MN 55025
Phone (651) 272-5195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403740800000",
"number": "1710238654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 LAKE ST S",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252631",
"telephone_number": "651-272-5195",
"fax_number": "651-395-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 LAKE ST S",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252631",
"telephone_number": "651-272-5195",
"fax_number": "651-395-2934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST LAKE HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-01",
"last_updated": "2014-06-26",
"status": "A",
"authorized_official_last_name": "KREGER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-272-5195"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Lake, MN
- Colleen Michelle Flaten
- Neh Buma Foncham, PSYCHIATRIC NP
- Forest Lake Area Schools #831
- Forest Lake Chiropractic Clinic, P.a.
- Forest Lake Endodontics
- Forest Lake Optometric Center (North Woods Optics)
- Forest Lake Orthodontics (Travis W. Wille, DDS, MS)
- Forest Lake Skin and Vein Clinic
- Forest Lake Smiles, PA
- Lisa Marie Forslund, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.