Organization Active NPI

Our Family Home Limited Liability Company

  • Home Health Agency
  • Brooklyn Center, MN
National Provider Identifier
1992285233
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OUR FAMILY HOME LIMITED LIABILITY COMPANY
Practice address
3300 County Road 10 Ste 512I
Brooklyn Center, MN 55429-3068
Phone
(763) 273-4381
Fax
(763) 717-8304
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Perkaloah Amanda Queeglay-Tarpeh
Title
Ceo
Phone
(612) 387-6629

Specialties & licenses 1

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

Addresses

Primary practice location

3300 County Road 10 Ste 512I
Brooklyn Center, MN 55429-3068

Mailing address

3300 County Road 10 Ste 512I
Brooklyn Center, MN 55429-3068
Phone (763) 273-4381

Other names 1

  • Our Family Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1992285233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 512I",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293068",
            "telephone_number": "763-273-4381",
            "fax_number": "763-717-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 512I",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293068",
            "telephone_number": "763-273-4381",
            "fax_number": "763-717-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY HOME LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "QUEEGLAY-TARPEH",
        "authorized_official_first_name": "PERKALOAH",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-387-6629"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.