A1 Care Shriners at Home Services Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

A1 CARE SHRINERS AT HOME SERVICES INC.

Practice address

4665 Victor Path Unit 2
Hugo, MN 55038-6037

Phone

(651) 587-8502

NPI assigned

Oct 25, 2020

Organization subpart

No

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

Authorized official

Name

Julius Mathias Kavugha

Title

Administrator

Phone

(651) 587-8502

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A1 CARE SHRINERS AT HOME SERVICES INC. Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1972102457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 VICTOR PATH UNIT 2",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550386037",
            "telephone_number": "651-587-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 VICTOR PATH UNIT 2",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550386037",
            "telephone_number": "651-587-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 CARE SHRINERS AT HOME SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "KAVUGHA",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "MATHIAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-587-8502"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030745700034",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Desk top Computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Staff information, Client information and Office",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Client Information and office information",
            "address_1": "4665 Victor Path Unit 2",
            "city": "Hugo",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550386037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A1 CARE SHRINERS AT HOME SERVICES INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jordan Leigh Achartz, MS, LPC
• Kelsey Marie Adair, BCBA
• Christopher Franklin Adams, M.D., MBA, FAAFP
• Aishat Oluwatosin Adeyemo, DNP APRN AGACNP-BC
• Madeline Maicie Alamo

• All providers in Hugo, MN
• Personal Care Attendant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.