Organization Active NPI

Caregivers Network of MPLS., Inc

  • Home Health Agency
  • Minnetonka, MN
National Provider Identifier
1780706366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
333589 Issued in MN
Legal business name
CAREGIVERS NETWORK OF MPLS., INC
Practice address
10709 Wayzata Blvd
Suite 121
Minnetonka, MN 55305-5509
Phone
(952) 935-5581
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kevin O'Malley
Title
Ceo
Phone
(952) 935-5581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 333589 MN Primary

Addresses

Primary practice location

10709 Wayzata Blvd
Suite 121
Minnetonka, MN 55305-5509

Mailing address

10709 Wayzata Blvd
Suite 121
Minnetonka, MN 55305-5509

Other identifiers 2

IdentifierTypeStateIssuer
8376CAOtherMNBLUE CROSS & BLUE SHIELD
59-00122OtherMNMEDICA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780706366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 WAYZATA BLVD",
            "address_2": "SUITE 121",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 WAYZATA BLVD",
            "address_2": "SUITE 121",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055509",
            "telephone_number": "952-935-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVERS NETWORK OF MPLS., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-935-5581"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "333589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8376CA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "59-00122",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.