Active NPI
Allina Health System
- Home Health Agency
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ALLINA HEALTH SYSTEM
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (612) 262-1166
- NPI assigned
- Jan 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominica Tallarico
- Title
- Coo
- Phone
- (612) 222-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Mailing address
PO Box 43
Mail Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other names 1
- Allina Health Home Health Elevated Care at Home
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050121000073 | MN | Part A Provider - Home Health Agency | 4587573613 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Minneapolis, MN; New Ulm, MN |
Home health agency certification: CCN 248091
- Legal name
- ALLINA HEALTH SYSTEM
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 22, 2005
- Last certification
- Jan 24, 2020
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Enrollment address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Allina Health Home Health
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Sep 22, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 28
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Challis Lowe | Corporate Director | Jun 8, 2022 | |
| John Richard Church | Corporate Director | Jun 13, 2013 | |
| Laura Jean Gillund | Corporate Director | Jun 10, 2015 | |
| Amy L Ronneberg | Corporate Director | Dec 1, 2020 | |
| Daniel Thomas O'Laughlin | Corporate Director | Jan 1, 2022 | |
| Maykao Y Hang | Corporate Director | Jun 13, 2019 | |
| Rodney Ray Plunkett | Corporate Officer | Aug 12, 2024 | |
| Brian McGrane | Corporate Director | Jun 14, 2024 | |
| Marna Borgstrom | Corporate Director | Jun 13, 2025 | |
| Jennifer Soo Alstad | Corporate Director | Jun 10, 2016 | |
| Shari L Ballard | Corporate Director | Jun 10, 2020 | |
| Timothy Aloysius Welsh | Corporate Director | Dec 1, 2017 | |
| Vicki Rasmusen | Corporate Director | Jun 13, 2019 | |
| Debbra Schoneman | Corporate Director | Jun 13, 2013 | |
| David Michael Kuplic | Corporate Director | Jun 10, 2015 | |
| James Kolar | Corporate Director | Sep 13, 2024 | |
| Lisa Shannon | Corporate Director | Jan 1, 2022 | |
| Shawn M Ulreich | Corporate Director | Sep 13, 2023 | |
| Chanda L Baker | Corporate Director | Feb 20, 2024 | |
| Melinda Estes | Corporate Director | Jun 13, 2025 | |
| Louis Julius King | Corporate Director | Jun 12, 2017 | |
| Ruth Evelyn Williams-Brinkley | Corporate Director | Sep 13, 2023 | |
| Darrell Richard Tukua | Corporate Director | Sep 10, 2014 | |
| Patricia W Schirmers | W-2 Managing Employee | Oct 28, 1985 | |
| Barbara a Butts Williams | Corporate Director | Jun 10, 2015 | |
| Thomas S Schreier | Corporate Director | Mar 12, 2014 | |
| Dominica Marie Tallarico | Corporate Officer | Mar 11, 2024 | |
| Roger Scott Newcome | Corporate Director | May 6, 2016 | |
| W-2 Managing Employee | May 6, 2016 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1851334825
Corporate Director
Practitioners & affiliated clinicians
Affiliated clinicians 481
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Health Nurse Practitioner
- Coon Rapids, MN
- NPI 1518467760
Home health agency
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1780628461
Home health agency
-
- Internal Medicine Physician
- Woodbury, MN
- NPI 1942591227
Home health agency
-
- Orthopaedic Surgery Physician
- Saint Paul, MN
- NPI 1447423603
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1831909134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"address_2": "MAIL ROUTE 10585",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554400043",
"telephone_number": "612-262-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-1166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLINA HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-09",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "TALLARICO",
"authorized_official_first_name": "DOMINICA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "612-222-2222"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.6635.1.1",
"affiliationName": "Ciox Health",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "925 N Point Pkwy",
"city": "Alpharetta",
"state": "GA",
"country_code": "US",
"postal_code": "300055210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Allina Health Home Health Elevated Care at Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.