Nokomis, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NOKOMIS, LLC

Doing business as

Nokomis Home Health Care

Practice address

113 Spruce Ave NE
Cass Lake, MN 56633

Phone

(218) 308-6096

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas Thieling

Title

Owner

Phone

(218) 308-6096

Specialties & licenses 1

Addresses

Other names 1

• Nokomis Home Health Care Doing business as

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1922856004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566330154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SPRUCE AVE NE",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "56633",
            "telephone_number": "218-308-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOKOMIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "THIELING",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-308-6096"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nokomis Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John R Naegeli, PHARM. D.
• Joshua Michael Nelson, PHARMD
• Network for Native Futures
• Christopher Niendorf, PHARMD
• Delayna A Nitz, N.P.
• Leila Northbird, LICSW
• Barbara Nyberg, RN
• Heather A Oakes
• Jacob Getugi Okioma, PHARM.D
• Margaret A Olding, RN

• Home Health Agency in Cass Lake, MN
• Providers in Cass Lake, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.