Homecare Resource, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

335891 Issued in MN

Legal business name

HOMECARE RESOURCE, LLC

Practice address

2740 American Blvd W
Suite 110
Bloomington, MN 55431-1203

Phone

(952) 854-6104

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Charie L Devolites, RN, BSN, MSHCA

Title

Chief Executive Officer

Phone

(952) 854-6104

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Kay Fossan, MA, LPCC, PHD, NCC

  • Professional Counselor
  • Bloomington, MN
  • NPI 1801124003
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1841484300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 AMERICAN BLVD W",
            "address_2": "SUITE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311203",
            "telephone_number": "952-854-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 AMERICAN BLVD W",
            "address_2": "SUITE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311203",
            "telephone_number": "952-854-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE RESOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "DEVOLITES",
        "authorized_official_first_name": "CHARIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-854-6104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MSHCA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "335891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096602900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Holzbauer, PHYSICAL THERAPIST
• Home Free Incorporated
• Home Lab Partners Inc
• Home View Transportation LLC
• Homecare Resource LLC
• Jennifer Marlena Honan Abarquez
• Robert J Honerman, SCHOOL PSYCHOLOGIST
• Hope & Healing Care LLC
• Hope Armhs L.L.C.
• Hope Autism Center

• Home Health Agency in Bloomington, MN
• Providers in Bloomington, 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 Mar 22, 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.