Active NPI
Fabian Homecare LLC
- Home Health Agency
- Chaska, MN
National Provider Identifier
1891532412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FABIAN HOMECARE LLC
- Practice address
- 2461 Clover Field Dr
Chaska, MN 55318-3212 - Phone
- (651) 247-4955
- NPI assigned
- Jul 11, 2024
- Last updated
- Jul 11, 2024
- 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
- Maria Gwanganalie
- Title
- Administrator
- Phone
- (763) 238-2974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2461 Clover Field Dr
Chaska, MN 55318-3212
Mailing address
2461 Clover Field Dr
Chaska, MN 55318-3212
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Minneapolis, MN
- NPI 1164377560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1891532412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2461 CLOVER FIELD DR",
"city": "CHASKA",
"state": "MN",
"postal_code": "553183212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2461 CLOVER FIELD DR",
"city": "CHASKA",
"state": "MN",
"postal_code": "553183212",
"telephone_number": "651-247-4955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FABIAN HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "GWANGANALIE",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "763-238-2974"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.