NPIMap

Organization Active NPI

Arrowhead Economic Opportunity Agency

  • In Home Supportive Care Agency
  • Virginia, MN
National Provider Identifier
1942442082
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ARROWHEAD ECONOMIC OPPORTUNITY AGENCY
Practice address
702 South Third Avenue
Virginia, MN 55792
Phone
(218) 749-2912
Fax
(218) 749-2944
NPI assigned
Apr 6, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Mr. Harlan Tardy
Title
Executive Director
Phone
(218) 749-2912

Specialties & licenses 1

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

Addresses

Primary practice location

702 South Third Avenue
Virginia, MN 55792

Mailing address

702 South Third Avenue
Virginia, MN 55792
Phone (218) 749-2912

Other names 1

  • AEOA Meals On Wheels Other name

National Provider Directory

National Provider Directory
Tax ID family
Arrowhead Economic Opportunity Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

702 S 3rd Ave
Virginia, MN 55792
Phone (218) 749-2912

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1942442082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SOUTH THIRD AVENUE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-749-2912",
            "fax_number": "218-749-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SOUTH THIRD AVENUE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-749-2912",
            "fax_number": "218-749-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD ECONOMIC OPPORTUNITY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "TARDY",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-749-2912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AEOA Meals On Wheels",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.