Organization Active NPI

Basic Home Care

  • Home Health Agency
  • Wayzata, MN
National Provider Identifier
1750953758
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BASIC HOME CARE
Practice address
1001 Twelve Oaks Center Drive, Suite 1018
Wayzata, MN 55391
Phone
(612) 803-2021
NPI assigned
Jul 11, 2021
Last updated
Jul 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Authorized official

Name
Irina Yavela
Title
Ceo
Phone
(612) 803-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1001 Twelve Oaks Center Drive, Suite 1018
Wayzata, MN 55391

Mailing address

1001 Twelve Oaks Center Drive, Suite 1018
Wayzata, MN 55391
Phone (612) 803-2021

National Provider Directory

National Provider Directory
Tax ID family
Basic Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1001 Twelve Oaks Center Dr
Ste 1018
Wayzata, MN 55391
Phone (763) 210-1414

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625961600000",
    "number": "1750953758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TWELVE OAKS CENTER DRIVE, SUITE 1018",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "55391",
            "telephone_number": "612-803-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TWELVE OAKS CENTER DRIVE, SUITE 1018",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "55391",
            "telephone_number": "612-803-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "YAVELA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-803-2021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.