Active NPI
Ruby Home Healthcare Inc
- Home Health Agency
- St Louis Park, MN
National Provider Identifier
1720844459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RUBY HOME HEALTHCARE INC
- Practice address
- 5575 Wayzata Blvd
St Louis Park, MN 55416 - Phone
- (320) 377-3553
- NPI assigned
- Feb 21, 2024
- 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
- Vantashia Lewis
- Title
- Ceo
- Phone
- (320) 377-3553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5575 Wayzata Blvd
St Louis Park, MN 55416
Mailing address
5575 Wayzata Blvd
St Louis Park, MN 55416
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1720844459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "320-377-3553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBY HOME HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "VANTASHIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "320-377-3553"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.