Organization Active NPI

Caring Professionals Homecare, LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1952566093
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARING PROFESSIONALS HOMECARE, LLC
Practice address
1543 Como Ave Ste 101
Saint Paul, MN 55108
Phone
(651) 789-2299
Fax
(651) 306-1359
NPI assigned
Jul 28, 2008
Last updated
Jun 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Todd Allen Wackerfuss
Title
Administrator
Phone
(651) 789-2299

Specialties & licenses 1

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

Addresses

Primary practice location

1543 Como Ave Ste 101
Saint Paul, MN 55108

Mailing address

1543 Como Ave Ste 101
Saint Paul, MN 55108-2544
Phone (651) 789-2299

Other identifiers 3

IdentifierTypeStateIssuer
014N0CAOtherMNBLUE PLUS
A609402000MedicaidMN
185876OtherMNUCARE

National Provider Directory

National Provider Directory

Locations

1543 Como Ave
Ste 101
Saint Paul, MN 55108
Phone (651) 646-8771

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1952566093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 COMO AVE STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082544",
            "telephone_number": "651-789-2299",
            "fax_number": "651-306-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 COMO AVE STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55108",
            "telephone_number": "651-789-2299",
            "fax_number": "651-306-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING PROFESSIONALS HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "WACKERFUSS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-789-2299"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "014N0CA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A609402000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "185876",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.