Family Support Transport Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAMILY SUPPORT TRANSPORT INC

Doing business as

Family Support Homecare

Practice address

11814 Pennsylvania Ave N
Champlin, MN 55316-2226

Phone

(612) 203-3197

NPI assigned

Oct 1, 2024

Last updated

Oct 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joyce Seju

Title

Owner

Phone

(612) 203-3197

Specialties & licenses 1

Addresses

Other names 1

• Family Support Homecare Doing business as

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1811715535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11814 PENNSYLVANIA AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162226",
            "telephone_number": "612-203-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11814 PENNSYLVANIA AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162226",
            "telephone_number": "612-203-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "SEJU",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-203-3197"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Support Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maurice Chimezie Etete
• Christina A Evensen, LPC, NCC
• Evergreen Choice LLC
• Maria Eyberg, PT
• Brian S Falbo, R.PH.
• David Leland Fandrich, D.C.
• Suhayb Abdi Farah
• Ellen Fastner, NP
• Diane Kay Felton, PHD, LP
• Pamela Fleagle, MA

• Home Health Agency in Champlin, MN
• Providers in Champlin, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.