Organization Active NPI

Pines Homecare Services LLC

  • Home Health Agency
  • Duluth, MN
National Provider Identifier
1942603022
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
369009 Issued in MN
Legal business name
PINES HOMECARE SERVICES LLC
Practice address
50 E Saint Marie St
Duluth, MN 55803-2634
Phone
(218) 724-5500
Fax
(218) 724-5535
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Mr. Michael G Edmunds
Title
Owner
Phone
(218) 724-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 369009 MN Primary

Addresses

Primary practice location

50 E Saint Marie St
Duluth, MN 55803-2634

Mailing address

50 E Saint Marie St
Duluth, MN 55803-2634
Phone (218) 724-5500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1942603022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E SAINT MARIE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558032634",
            "telephone_number": "218-724-5500",
            "fax_number": "218-724-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E SAINT MARIE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558032634",
            "telephone_number": "218-724-5500",
            "fax_number": "218-724-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-724-7900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "369009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.