Healthy Community Services Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

353118 Issued in MN

Legal business name

HEALTHY COMMUNITY SERVICES AGENCY, INC

Practice address

1096 Rice St.
St. Paul, MN 55117

Phone

(651) 247-6517

Fax

(651) 487-3130

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Miss Ai Vang, RN

Title

Owner

Phone

(651) 247-6517

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1851670400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174922",
            "telephone_number": "651-247-6517",
            "fax_number": "651-487-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 RICE ST.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55117",
            "telephone_number": "651-247-6517",
            "fax_number": "651-487-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY COMMUNITY SERVICES AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "AI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-247-6517",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "353118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.