Active NPI
Favorite Health Care Staffing
- Nursing Care Agency
- Roseville, MN
National Provider Identifier
1891040754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- R148513-2
- Legal business name
- FAVORITE HEALTH CARE STAFFING
- Practice address
- 1700 Highway 36 W
Suite 880
Roseville, MN 55113-4034 - Phone
- (651) 646-8046
- NPI assigned
- Jul 17, 2012
- 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
- Mrs. Donna E Hoffman, REGISTERED NURSE
- Title
- Nurse
- Phone
- (612) 499-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | R148513-2 | MN | Primary |
Addresses
Primary practice location
1700 Highway 36 W
Suite 880
Roseville, MN 55113-4034
Mailing address
212 Church St S
PO Box 184
Browns Valley, MN 56219-2001
Phone (612) 499-0200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1891040754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CHURCH ST S",
"address_2": "PO BOX 184",
"city": "BROWNS VALLEY",
"state": "MN",
"postal_code": "562192001",
"telephone_number": "612-499-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 36 W",
"address_2": "SUITE 880",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134034",
"telephone_number": "651-646-8046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAVORITE HEALTH CARE STAFFING",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "NURSE",
"authorized_official_telephone_number": "612-499-0200",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MN",
"license": "R148513-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.