Organization Active NPI

Priority Home Care LLC

  • In Home Supportive Care Agency
  • Eden Prairie, MN
National Provider Identifier
1750130944
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on May 18, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.