Juanita's Home Health, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JUANITA'S HOME HEALTH, LLC

Practice address

8601 Edinbrook Xing
Apt 331
Brooklyn Park, MN 55443-4015

Phone

(763) 486-3131

NPI assigned

Nov 25, 2013

Organization subpart

No

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

Authorized official

Name

Jose Enrique Perez

Title

Owner

Phone

(763) 486-3131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1821428012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 EDINBROOK XING",
            "address_2": "APT 331",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434015",
            "telephone_number": "763-486-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 EDINBROOK XING",
            "address_2": "APT 331",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434015",
            "telephone_number": "763-486-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA'S HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-486-3131"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.