Organization Active NPI

Hearthhaven Services LLC

  • In Home Supportive Care Agency
  • Minneapolis, MN
National Provider Identifier
1922846583
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEARTHHAVEN SERVICES LLC
Practice address
6227 W 34TH St
Minneapolis, MN 55416-2069
Phone
(612) 431-4896
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Ethan Garrick
Title
Member
Phone
(612) 431-4896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6227 W 34TH St
Minneapolis, MN 55416-2069

Mailing address

6227 W 34TH St
Minneapolis, MN 55416-2069
Phone (612) 431-4896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1922846583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 W 34TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162069",
            "telephone_number": "612-431-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6227 W 34TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162069",
            "telephone_number": "612-431-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHHAVEN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "GARRICK",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "612-431-4896"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 Jul 18, 2024; 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.