Access Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

332959 Issued in MN

Legal business name

ACCESS HOME CARE, LLC

Practice address

28104 Norway RDG
Pequot Lakes, MN 56472-2834

Phone

(218) 568-7662

Fax

(218) 568-7664

NPI assigned

Jan 19, 2007

Last updated

Nov 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Embree

Title

Owner

Phone

(218) 568-7662

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1972656411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28104 NORWAY RDG",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564722834",
            "telephone_number": "218-568-7662",
            "fax_number": "218-568-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28104 NORWAY RDG",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564722834",
            "telephone_number": "218-568-7662",
            "fax_number": "218-568-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "EMBREE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-568-7662"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "332959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER",
            "identifier": "59-85624",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901484500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Belanger, PT
• Brainerd Medical Center Inc (Essentia Health Pequot Lakes Pharmacy)
• Courtney M. Budge, MA CCC-SLP
• Ryan Dennis Buell, DC
• Caring Hearts Senior Community, LLC

• Home Health Agency in Pequot Lakes, MN
• Providers in Pequot Lakes, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.