Organization Active NPI

JD Home Health Care

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Saint Cloud, MN
National Provider Identifier
1881143246
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
JD HOME HEALTH CARE
Practice address
4896 52ND St SE
Saint Cloud, MN 56304-9520
Phone
(208) 277-4435
NPI assigned
Sep 27, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Joshua D Schott
Title
President
Phone
(208) 277-4435

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary
Community/Behavioral Health Agency 251S00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

4896 52ND St SE
Saint Cloud, MN 56304-9520

Mailing address

PO Box 1815
Saint Cloud, MN 56302-1815
Phone (208) 277-4435

National Provider Directory

National Provider Directory
Tax ID family
JD Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1881143246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1815",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563021815",
            "telephone_number": "208-277-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4896 52ND ST SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563049520",
            "telephone_number": "208-277-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "SCHOTT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-277-4435"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.