NPIMap

Organization Active NPI

Fairview Health Services

Doing business as Fairview Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Woodbury, MN
National Provider Identifier
1972084044
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FAIRVIEW HEALTH SERVICES
Doing business as
Fairview Maplewood Home Medical Equipment
Practice address
1925 Woodwinds Dr Ste N1-055
Woodbury, MN 55125-4445
Phone
(651) 683-7010
NPI assigned
Aug 27, 2018
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Jill Marie McCartney
Title
System Executive HME O&P
Phone
(651) 632-9835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1925 Woodwinds Dr Ste N1-055
Woodbury, MN 55125-4445

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-7601

Other practice location 1

2945 Hazelwood St Ste 315
Maplewood, MN 55109-1241
Phone (651) 683-7020

Other names 2

  • Fairview Home Medical Equipment Other name
  • Fairview Maplewood Home Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190301001153 MN DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1951213057 Practice locations: Maplewood, MN

National Provider Directory

National Provider Directory
Tax ID family
Fairview LKS N Brnch CL70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

2945 Hazelwood St
Ste 315
Maplewood, MN 55109
Phone (651) 683-7020

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capitol Park Mental Health HospitalSaint Paul, MN, CCN 244019 Hospital 5% Or Greater Direct Ownership Interest (12.1%) Dec 7, 2021
Accentcare Fairview Home Health - East, LLCOakdale, MN, CCN 247166 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Home Health - West, LLCSaint Paul, MN, CCN 247078 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Hospice - West, LLCSaint Paul, MN, CCN 241514 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1972084044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-7601",
            "fax_number": "612-884-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 WOODWINDS DR STE N1-055",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254445",
            "telephone_number": "651-683-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Hazelwood St Ste 315",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091241",
            "country_code": "US",
            "telephone_number": "651-683-7020",
            "fax_number": "651-683-7021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAIRVIEW HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SYSTEM EXECUTIVE HME O&P",
        "authorized_official_telephone_number": "651-632-9835"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Maplewood Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Home Medical Equipment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.