Individual provider Active NPI

Benjamin Dale Rosenbush

  • In Home Supportive Care Agency
  • Saint Cloud, MN
National Provider Identifier
1750099453
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
1705 W Saint Germain St
Saint Cloud, MN 56301-4071
Phone
(320) 230-1140
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1705 W Saint Germain St
Saint Cloud, MN 56301-4071

Mailing address

2110 W 105TH St
Bloomington, MN 55431-3407
Phone (612) 462-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cloud Silver Lining, Inc In Home Supportive Care CurrentSince Nov 13, 2022 Accepting new patients

Locations

1705 W Saint Germain St
Saint Cloud, MN 56301
Phone (320) 230-1140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1750099453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 W 105TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313407",
            "telephone_number": "612-462-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W SAINT GERMAIN ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014071",
            "telephone_number": "320-230-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBUSH",
        "first_name": "BENJAMIN",
        "middle_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "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 Nov 10, 2022; 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.