NPIMap

Organization Active NPI

Abbeycare, Inc

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1962810051
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R-2065250 Issued in MN
Legal business name
ABBEYCARE, INC
Practice address
1148 Grand Avenue
St. Paul, MN 55105
Phone
(651) 690-5352
Fax
(651) 209-8065
NPI assigned
Aug 1, 2014
Last updated
Aug 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Liliya Gokhberg
Title
Ceo
Phone
(651) 690-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R-2065250 MN Primary

Addresses

Primary practice location

1148 Grand Avenue
St. Paul, MN 55105

Mailing address

1148 Grand Avenue
St. Paul, MN 55105
Phone (651) 690-5352

Other identifiers 1

IdentifierTypeStateIssuer
A632633100MedicaidMN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1962810051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 GRAND AVENUE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-690-5352",
            "fax_number": "651-209-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 GRAND AVENUE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-690-5352",
            "fax_number": "651-209-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEYCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "GOKHBERG",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-690-5352"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "R-2065250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A632633100",
            "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 Aug 1, 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.