Active NPI
Ameria Health Care, Inc
- Home Health Agency
- Brooklyn Center, MN
National Provider Identifier
1851807002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 382220
- Legal business name
- AMERIA HEALTH CARE, INC
- Practice address
- 5701 Shingle Creek Pkwy Ste 500R
Brooklyn Center, MN 55430-2386 - Phone
- (763) 432-3524
- Fax
- (763) 432-3524
- NPI assigned
- Dec 26, 2017
- 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
- Mr. Mack M McBorrough
- Title
- Administrator
- Phone
- (763) 670-5044
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 382220 | MN | Primary |
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
5701 Shingle Creek Pkwy Ste 500R
Brooklyn Center, MN 55430-2386
Mailing address
5701 Shingle Creek Pkwy Ste 500R
Brooklyn Center, MN 55430-2386
Phone (763) 432-3524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382220 | Other | MN | HOME CARE LICENSE |
National Provider Directory
National Provider DirectoryLocations
5701 Shingle Creek Pkwy
Ste 500R
Brooklyn Center, MN 55430
Phone (612) 978-5640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1851807002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 SHINGLE CREEK PKWY STE 500R",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302386",
"telephone_number": "763-432-3524",
"fax_number": "763-432-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 SHINGLE CREEK PKWY STE 500R",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302386",
"telephone_number": "763-432-3524",
"fax_number": "763-432-3524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIA HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-26",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "MCBORROUGH",
"authorized_official_first_name": "MACK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "763-670-5044",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "382220",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME CARE LICENSE",
"identifier": "382220",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.