Active NPI
Caring Professionals Homecare, LLC
- Home Health Agency
- Saint Paul, MN
National Provider Identifier
1952566093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014N0CA | Other | MN | BLUE PLUS |
| A609402000 | Medicaid | MN | |
| 185876 | Other | MN | UCARE |
National Provider Directory
National Provider DirectoryLocations
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.