NPIMap

Organization Active NPI

Twin City Christian Homes Services Company

  • Home Health Agency
  • Hermantown, MN
National Provider Identifier
1740647106
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
372405 Issued in MN
Legal business name
TWIN CITY CHRISTIAN HOMES SERVICES COMPANY
Doing business as
Avinity Home Care
Practice address
4067 Reinke Rd
Hermantown, MN 55811-3611
Phone
(612) 243-4585
Fax
(612) 861-2149
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Ms. Denyse Ethridge
Title
VP of Operations
Phone
(612) 243-4585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 372405 MN Primary

Addresses

Primary practice location

4067 Reinke Rd
Hermantown, MN 55811-3611

Mailing address

7645 Lyndale Ave S Ste 110
Richfield, MN 55423-6008
Phone (612) 243-4585

Other names 1

  • Avinity Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Twin City Christian Homes Services Company7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1740647106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 LYNDALE AVE S STE 110",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554236008",
            "telephone_number": "612-243-4585",
            "fax_number": "612-861-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 REINKE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113611",
            "telephone_number": "612-243-4585",
            "fax_number": "612-861-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY CHRISTIAN HOMES SERVICES COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "ETHRIDGE",
        "authorized_official_first_name": "DENYSE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "612-243-4585",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "372405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avinity Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermantown, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.