Organization Active NPI

Fidelity Healthcare LLC.

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1922374156
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIDELITY HEALTHCARE LLC.
Practice address
2800 Fremont Ave. N. #208
Minneapolis, MN 55401-1353
Phone
(612) 618-0810
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Mr. Ben Cleve Dossman IV
Title
Owner
Phone
(612) 618-0810

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X MN Primary

Addresses

Primary practice location

2800 Fremont Ave. N. #208
Minneapolis, MN 55401-1353

Mailing address

2900 Fremont Ave N.
#208
Minneapolis, MN 55411-1313
Phone (612) 584-4870

National Provider Directory

National Provider Directory

Locations

2900 Fremont Ave N
#208
Minneapolis, MN 55411

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1922374156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FREMONT AVE N.",
            "address_2": "#208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111313",
            "telephone_number": "612-584-4870",
            "fax_number": "612-444-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FREMONT AVE. N. #208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011353",
            "telephone_number": "612-618-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "DOSSMAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "CLEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-618-0810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "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 Oct 10, 2016; 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.