Village Integrated Services Agency LLP

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VILLAGE INTEGRATED SERVICES AGENCY LLP

Doing business as

VISA

Practice address

3300 County Rd 10
Suite 500G
Brooklyn Center, MN 55429

Phone

(763) 443-4236

Fax

(763) 647-7146

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Dorothy Jean Stinson-Royston

Title

Chief Financial Officer

Phone

(763) 443-4236

Specialties & licenses 5

Addresses

Other names 1

• VISA Doing business as

Locations

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1932807088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 XERXES AVE N APT 115",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302844",
            "telephone_number": "763-443-4236",
            "fax_number": "763-647-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COUNTY RD 10",
            "address_2": "SUITE 500G",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55429",
            "telephone_number": "763-443-4236",
            "fax_number": "763-647-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE INTEGRATED SERVICES AGENCY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "STINSON-ROYSTON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "763-443-4236"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.