SE Metro Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SE METRO HOMECARE LLC

Practice address

8115 Jocelyn Ave S
Cottage Grove, MN 55016-4987

Phone

(651) 246-0184

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph A Nkwain

Title

Owner

Phone

(651) 246-0184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1881401644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 JOCELYN AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164987",
            "telephone_number": "651-246-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 JOCELYN AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164987",
            "telephone_number": "651-246-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE METRO HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "NKWAIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-246-0184"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Dec 16, 2024; 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.