Melkezedek Care LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

MELKEZEDEK CARE LLC

Practice address

8525 N Edinbrook Crossing Suite 204
Brooklyn Park, MN 55443

Phone

(763) 269-9313

Fax

(763) 432-3049

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Mel Melchizedek

Title

Co-Owner

Phone

(763) 269-9313

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1952873630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 N EDINBROOK CROSSING SUITE 204",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-269-9313",
            "fax_number": "763-432-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 N EDINBROOK CROSSING SUITE 204",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-269-9313",
            "fax_number": "763-432-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8601 Edinbrook Xing Apt 321",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554434009",
            "country_code": "US",
            "telephone_number": "763-269-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MELKEZEDEK CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "MELCHIZEDEK",
        "authorized_official_first_name": "MEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-269-9313"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.