Children's Minnesota Home Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHILDREN'S MINNESOTA HOME MEDICAL EQUIPMENT

Practice address

2545 Chicago Ave Ste 120
Minneapolis, MN 55404-4541

Phone

(612) 813-7220

NPI assigned

Oct 28, 2019

Last updated

Oct 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Lu Alexander McCormick

Title

SVP and Cfo

Phone

(612) 813-6129

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1942843412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 LINCOLN DRIVE",
            "address_2": "CBC-2-REV/PE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361611",
            "telephone_number": "952-992-5691",
            "fax_number": "952-992-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVE STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044541",
            "telephone_number": "612-813-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MINNESOTA HOME MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "BRENDA LU",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "SVP AND CFO",
        "authorized_official_telephone_number": "612-813-6129"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Health Care (Children's Home Care and Hospice)
• Children's Health Care (Childrens Home Care Pharmacy)
• Children's Health Care
• Children's Health Care
• Children's Hospital & Clinics of MN
• Children's Respiratory & Critical Care Specialists. P.a.
• Childrens Dental Services Inc
• Childrens Health Care
• Childrens Health Care
• Childrens Health Care (Childrens Hospitals and Clinics of Minnesota)

• Durable Medical Equipment & Medical Supplies in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.