Organization Active NPI

Redeeming Love Care Center Home Health Agency LLC

  • Home Health Registered Nurse
  • Brooklyn Park, MN
National Provider Identifier
1811743826
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
REDEEMING LOVE CARE CENTER HOME HEALTH AGENCY LLC
Practice address
4730 102ND TRL N
Brooklyn Park, MN 55443-2064
Phone
(612) 386-5560
Fax
(612) 233-0040
NPI assigned
Apr 29, 2024
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Hirut Berhane, RNNPI 1144076613
Title
Owner/Manager
Phone
(612) 386-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4730 102ND TRL N
Brooklyn Park, MN 55443-2064

Mailing address

4730 102ND TRL N
Brooklyn Park, MN 55443-2064
Phone (612) 386-5560

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1811743826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 102ND TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432064",
            "telephone_number": "612-386-5560",
            "fax_number": "612-233-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 102ND TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432064",
            "telephone_number": "612-386-5560",
            "fax_number": "612-233-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMING LOVE CARE CENTER HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "BERHANE",
        "authorized_official_first_name": "HIRUT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-386-5560",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.