Organization Active NPI

Connect.Home.Healthcare

  • Health Maintenance Organization
  • Saint Cloud, MN
National Provider Identifier
1740726090
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CONNECT.HOME.HEALTHCARE
Practice address
400 1St St S Ste 640
Saint Cloud, MN 56301-3641
Phone
(612) 707-2272
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Abdiwali M Ali
Title
General Mannager
Phone
(612) 707-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

400 1St St S Ste 640
Saint Cloud, MN 56301-3641

Mailing address

400 1St St S Ste 640
Saint Cloud, MN 56301-3641
Phone (612) 707-2272

National Provider Directory

National Provider Directory

Locations

400 1st St S
Ste 640
Saint Cloud, MN 56301
Phone (612) 707-2272

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1740726090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 1ST ST S STE 640",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013641",
            "telephone_number": "612-707-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 1ST ST S STE 640",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013641",
            "telephone_number": "612-707-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT.HOME.HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDIWALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL MANNAGER",
        "authorized_official_telephone_number": "612-707-2272"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.