Homecare Assist, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMECARE ASSIST, INC.

Doing business as

Petersen Home Care

Practice address

12800 Industrial Park Blvd
Suite 250
Plymouth, MN 55441-3974

Phone

(763) 557-1126

Fax

(763) 559-2484

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Joann Louise Sanford, RN

Title

President/Owner

Phone

(763) 557-1126

Specialties & licenses 1

Addresses

Other names 1

• Petersen Home Care Doing business as

Locations

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1982893251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD",
            "address_2": "SUITE 250",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413974",
            "telephone_number": "763-557-1126",
            "fax_number": "763-559-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD",
            "address_2": "SUITE 250",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413974",
            "telephone_number": "763-557-1126",
            "fax_number": "763-559-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE ASSIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "763-557-1126",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petersen Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Lynn Holsten, M.S. CCC-SLP
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• Home Health Agency in Plymouth, MN
• Providers in Plymouth, 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 Oct 23, 2007; 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.