Individual provider Active NPI

James E Zenk

  • Home Health Aide
  • Roseville, MN
National Provider Identifier
1891225751
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
377294 Issued in MN
Practice address
2336 Lexington Ave N Ste L
Roseville, MN 55113-4343
Phone
(612) 455-2585
Fax
(855) 319-9875
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 377294 MN
Home Health Aide 374U00000X 377294 MN Primary

Addresses

Primary practice location

2336 Lexington Ave N Ste L
Roseville, MN 55113-4343

Mailing address

2336 Lexington Ave N Ste L
Roseville, MN 55113-4343
Phone (612) 455-2585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
377294MNMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Sundog Enterprises Home Health Aide CurrentSince Jul 24, 2022 Accepting new patients

Locations

2336 Lexington Ave N
Ste L
Roseville, MN 55113
Phone (612) 455-2585

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891225751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 LEXINGTON AVE N STE L",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134343",
            "telephone_number": "612-455-2585",
            "fax_number": "855-319-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 LEXINGTON AVE N STE L",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134343",
            "telephone_number": "612-455-2585",
            "fax_number": "855-319-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENK",
        "first_name": "JAMES",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MN",
            "license": "377294",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "377294",
            "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 21, 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.