New Haven Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW HAVEN HOMECARE LLC

Practice address

12918 1St St Ste 130
Becker, MN 55308-5703

Phone

(763) 400-1452

NPI assigned

Sep 29, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Obure

Title

Owner/Vice President

Phone

(763) 400-1452

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1902686744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12918 1ST ST STE 130",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553085703",
            "telephone_number": "763-400-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12918 1ST ST STE 130",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553085703",
            "telephone_number": "763-400-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "OBURE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "763-400-1452"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.