Univita Home Health Assessments of Ohio LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

UNIVITA HOME HEALTH ASSESSMENTS OF OHIO LLC

Practice address

11000 Prairie Lakes Drive
Suite 600
Eden Prairie, MN 55344

Phone

(952) 456-4875

Fax

(952) 833-5489

NPI assigned

Oct 19, 2012

Organization subpart

Yes

Parent organization

UNIVITA HEALTHCARE SOLUTIONS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Mark Reagen

Title

President, Engagement Services

Phone

(480) 922-8942

Specialties & licenses 1

Addresses

Part of

Univita Health Inc

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1760735310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 PRAIRIE LAKES DRIVE",
            "address_2": "SUITE 600",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-456-4875",
            "fax_number": "952-833-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 PRAIRIE LAKES DRIVE",
            "address_2": "SUITE 600",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-456-4875",
            "fax_number": "952-833-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVITA HOME HEALTH ASSESSMENTS OF OHIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVITA HEALTHCARE SOLUTIONS LLC",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "REAGEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT, ENGAGEMENT SERVICES",
        "authorized_official_telephone_number": "480-922-8942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.