Active NPI
Priority Home Care LLC
- In Home Supportive Care Agency
- Eden Prairie, MN
National Provider Identifier
1750130944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PRIORITY HOME CARE LLC
- Practice address
- 6595 Edenvale Blvd Ste 180J
Eden Prairie, MN 55346-2567 - Phone
- (763) 232-1315
- NPI assigned
- May 18, 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
- Ayan Ali
- Title
- Owner
- Phone
- (763) 232-1315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
6595 Edenvale Blvd Ste 180J
Eden Prairie, MN 55346-2567
Mailing address
6595 Edenvale Blvd Ste 180J
Eden Prairie, MN 55346-2567
Phone (763) 232-1315
National Provider Directory
National Provider DirectoryLocations
6595 Edenvale Blvd
Ste 180J
Eden Prairie, MN 55346
Phone (763) 232-1315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715990400000",
"number": "1750130944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6595 EDENVALE BLVD STE 180J",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553462567",
"telephone_number": "763-232-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6595 EDENVALE BLVD STE 180J",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553462567",
"telephone_number": "763-232-1315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIORITY HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-18",
"last_updated": "2024-05-18",
"certification_date": "2024-05-18",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "AYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-232-1315"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.