Organization Active NPI

Home to Sweet Home LLC

  • In Home Supportive Care Agency
  • Stillwater, MN
National Provider Identifier
1932529856
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME TO SWEET HOME LLC
Practice address
109 Maryknoll Dr
Stillwater, MN 55082-5252
Phone
(651) 351-0038
NPI assigned
Apr 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Lisa Ann Bevens
Title
Co-Owner
Phone
(651) 351-0038

Specialties & licenses 1

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

Addresses

Primary practice location

109 Maryknoll Dr
Stillwater, MN 55082-5252

Mailing address

109 Maryknoll Dr
Stillwater, MN 55082-5252
Phone (651) 351-0038

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1932529856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MARYKNOLL DR",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825252",
            "telephone_number": "651-351-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MARYKNOLL DR",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825252",
            "telephone_number": "651-351-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TO SWEET HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "BEVENS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "651-351-0038"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.