Active NPI
James E Zenk
- Home Health Aide
- Roseville, MN
National Provider Identifier
1891225751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 377294
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 377294 | MN | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundog Enterprises | Home Health Aide | Current | 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.