Active NPI
Bluefield, LLC
- In Home Supportive Care Agency
- Excelsior, MN
National Provider Identifier
1891228201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.