Active NPI
Sasha Anderson
- Home Modifications Contractor
- Blaine, MN
National Provider Identifier
1760179295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- BC637425
- Practice address
- 2817 Aspen Lake Dr NE
Blaine, MN 55449-3100 - Phone
- (651) 341-7209
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | BC637425 | MN | Primary |
Addresses
Primary practice location
2817 Aspen Lake Dr NE
Blaine, MN 55449-3100
Mailing address
PO Box 476
Hugo, MN 55038-0476
Phone (651) 341-7209
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BC637425 | MN | MD | Home Modifications Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Builders Inc | Home Modifications | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Modifications Contractor
- Blaine, MN
- NPI 1811533458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1760179295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 476",
"city": "HUGO",
"state": "MN",
"postal_code": "550380476",
"telephone_number": "651-341-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ASPEN LAKE DR NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554493100",
"telephone_number": "651-341-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "MN",
"license": "BC637425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.