Roberson, Inc. Home Care Pca

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PCA57407320161127 Issued in MN

Legal business name

ROBERSON, INC. HOME CARE PCA

Practice address

639 Providence Dr
Box 7
Shakopee, MN 55379-4550

Phone

(612) 707-2430

NPI assigned

Dec 30, 2016

Organization subpart

Yes

Parent organization

ROBERSON, INC. RESIDENTIAL PROPERTY MANAGEMENT AND MAINTENANCE SERVICEAs reported in NPPES

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

Authorized official

Name

Mr. Joseph A. Roberson Sr., PCA

Title

Owner

Phone

(612) 707-2430

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roberson, Inc. Residential Property Management and Maintenance Service Former legal business name

Part of

Robersonincresidentialpropertymanagementandmaintenanceservice

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1831634807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 PROVIDENCE DR",
            "address_2": "BOX 7",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794550",
            "telephone_number": "612-707-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 PROVIDENCE DR",
            "address_2": "BOX 7",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794550",
            "telephone_number": "612-707-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERSON, INC. HOME CARE PCA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERSON, INC. RESIDENTIAL PROPERTY MANAGEMENT AND MAINTENANCE SERVICE",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-707-2430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PCA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "PCA57407320161127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "624120",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberson, Inc. Residential Property Management and Maintenance Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joseph F Rinowski
• Kasandra Dayanara Rios
• Matthew J Risken, MD
• Keanu Logan Rivera
• RLHM Transportation
• Robersonincresidentialpropertymanagementandmaintenanceservice
• Megan Robertson, MS CCC- SLP
• Roxsie Serenity Robinson
• Anna Victoria Rodriguez, MD
• Colleen Marie Roethke, RN

• Home Health Agency in Shakopee, MN
• Providers in Shakopee, 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 Dec 30, 2016; 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.