Organization Active NPI

Bluefield, LLC

  • In Home Supportive Care Agency
  • Excelsior, MN
National Provider Identifier
1891228201
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUEFIELD, LLC
Practice address
6350 Baycliffe Rd
Excelsior, MN 55331-7550
Phone
(763) 546-1599
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Carol Ruth Stine
Title
Manager
Phone
(214) 674-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6350 Baycliffe Rd
Excelsior, MN 55331-7550

Mailing address

6350 Baycliffe Rd
Excelsior, MN 55331-7550
Phone (763) 546-1599

Other names 1

  • Seniors' Choice At Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1891228201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 BAYCLIFFE RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553317550",
            "telephone_number": "763-546-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 BAYCLIFFE RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553317550",
            "telephone_number": "763-546-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-674-3553"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniors' Choice At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.