Health Associates Professional LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEALTH ASSOCIATES PROFESSIONAL LLC

Doing business as

Health Asssoicastes Professional LLC

Practice address

5747 W Broadway Ave Ste 212D
Crystal, MN 55428-3881

Phone

(763) 568-5578

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Fred Memba, RN BSN

Title

President

Phone

(763) 568-5578

Specialties & licenses 1

Addresses

Other names 1

• Health Asssoicastes Professional LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665273600000",
    "number": "1871176537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 W BROADWAY AVE STE 212D",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283881",
            "telephone_number": "763-568-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 W BROADWAY AVE STE 212D",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283881",
            "telephone_number": "763-568-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ASSOCIATES PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "MEMBA",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-568-5578",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fred@healthassociates.us",
            "affiliation": "N",
            "endpointDescription": "fred@healthassociates.us",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5747 W Broadway Ave Ste 212D",
            "city": "Crystal",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554283881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Health Asssoicastes Professional LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Crystal, MN
• Providers in Crystal, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; 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.