Organization Active NPI

Caring Hands Home Care Inc

  • Home Health Agency
  • Sebeka, MN
National Provider Identifier
1912986779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARING HANDS HOME CARE INC
Practice address
113 Minnesota Ave W
Sebeka, MN 56477
Phone
(218) 837-5572
Fax
(218) 837-6155
NPI assigned
Jan 11, 2006
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
Ms. Patricia Johnson, RN
Title
Administrator
Phone
(218) 837-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

113 Minnesota Ave W
Sebeka, MN 56477

Mailing address

PO Box 197
Sebeka, MN 56477
Phone (218) 837-5572

Other identifiers 4

IdentifierTypeStateIssuer
4J04CAOtherMNBCBS
123238OtherMNUCARE
5900011OtherMEDICA
85702300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031004000006 MN Part A Provider - Home Health Agency 2365354305 Practice locations: Park Rapids, MN; Sebeka, MN

Home health agency certification: CCN 247071

Legal name
CARING HANDS HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 7, 1994
Last certification
Aug 23, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 23, 1994 in MN
Enrollment address
113 Minnesota Avenue
Sebeka, MN 56477

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caring Hands Home CareCCN 247071 · All quality measures
Ownership
Proprietary
Certified
Jun 7, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

602 1st St E
Park Rapids, MN 56470
Phone (218) 732-0088

113 Minnesota Ave W
Sebeka, MN 56477
Phone (218) 837-5572

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Ann Johnson Individual 5% Or Greater Direct Ownership InterestVP Mar 12, 1994 50%
Corporate OfficerVP Mar 12, 1994 50%
Corporate DirectorVP Mar 12, 1994 50%
W-2 Managing EmployeeVP Mar 12, 1994 50%
Gary Melvin Johnson Individual 5% Or Greater Direct Ownership Interest Mar 12, 1994 50%
Corporate OfficerPresident Mar 12, 1994 50%

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912986779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "SEBEKA",
            "state": "MN",
            "postal_code": "56477",
            "telephone_number": "218-837-5572",
            "fax_number": "218-837-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MINNESOTA AVE W",
            "city": "SEBEKA",
            "state": "MN",
            "postal_code": "56477",
            "telephone_number": "218-837-5572",
            "fax_number": "218-837-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HANDS HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-837-5572",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4J04CA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "123238",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5900011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85702300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebeka, MN

Sources for this page

Verify at the official NPI Registry.