Organization Active NPI

Ameria Health Care, Inc

  • Home Health Agency
  • Brooklyn Center, MN
National Provider Identifier
1851807002
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
382220 Issued in MN
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
382220OtherMNHOME CARE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.