Active NPI
Caring Hands Home Care Inc
- Home Health Agency
- Sebeka, MN
National Provider Identifier
1912986779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4J04CA | Other | MN | BCBS |
| 123238 | Other | MN | UCARE |
| 5900011 | Other | MEDICA | |
| 85702300 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Ownership
- Proprietary
- Certified
- Jun 7, 1994
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia Ann Johnson | 5% Or Greater Direct Ownership Interest | Mar 12, 1994 | 50% |
| Corporate Officer | Mar 12, 1994 | 50% | |
| Corporate Director | Mar 12, 1994 | 50% | |
| W-2 Managing Employee | Mar 12, 1994 | 50% | |
| Gary Melvin Johnson | 5% Or Greater Direct Ownership Interest | Mar 12, 1994 | 50% |
| Corporate Officer | 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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.