Organization Active NPI

Sebandy Home Care Services, LLC

  • Health Maintenance Organization
  • Rochester, MN
National Provider Identifier
1760853980
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SEBANDY HOME CARE SERVICES, LLC
Practice address
2548 Lisa LN NE
Rochester, MN 55906
Phone
(651) 383-6764
Fax
(507) 281-1162
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Renae Ann Cooley
Title
Owner/QP/Aa
Phone
(651) 383-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2548 Lisa LN NE
Rochester, MN 55906

Mailing address

2548 Lisa LN NE
Rochester, MN 55906
Phone (651) 383-6764

Other names 1

  • Renae Cooley Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1760853980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 LISA LN NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55906",
            "telephone_number": "651-383-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 LISA LN NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55906",
            "telephone_number": "651-383-6764",
            "fax_number": "507-281-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBANDY HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/QP/AA",
        "authorized_official_telephone_number": "651-383-6764"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renae Cooley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.