Organization Active NPI

Bristol Place Home Health Services, Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1891919908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
330943 Issued in MN
Legal business name
BRISTOL PLACE HOME HEALTH SERVICES, INC.
Practice address
412 Ridgewood Ave
Minneapolis, MN 55403-3584
Phone
(612) 871-0805
Fax
(612) 813-0158
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheldon Schneider
Title
President
Phone
(612) 871-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 330943 MN Primary

Addresses

Primary practice location

412 Ridgewood Ave
Minneapolis, MN 55403-3584

Mailing address

412 Ridgewood Ave
Minneapolis, MN 55403-3584
Phone (612) 871-0805

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891919908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 RIDGEWOOD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033584",
            "telephone_number": "612-871-0805",
            "fax_number": "612-813-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 RIDGEWOOD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033584",
            "telephone_number": "612-871-0805",
            "fax_number": "612-813-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PLACE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-871-0805"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "330943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.