Organization Active NPI

Minnewaska Home Care Inc

  • Home Health Agency
  • Starbuck, MN
National Provider Identifier
1992811434
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
MN03853 Issued in MN
Legal business name
MINNEWASKA HOME CARE INC
Practice address
605 Main Street
Starbuck, MN 56381-0040
Phone
(320) 239-7259
Fax
(320) 239-7263
NPI assigned
Aug 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Christopher Robin Knoll
Title
Administrator
Phone
(320) 239-7104

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN03853 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

605 Main Street
Starbuck, MN 56381-0040

Mailing address

PO Box 40
605 Main Street
Starbuck, MN 56381-0040
Phone (320) 239-7259

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
633621300MedicaidMN

Other names 1

NPPES NPI Registry
  • Minnewaska Community Health Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2015.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1992811434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "address_2": "605 MAIN STREET",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563810040",
            "telephone_number": "320-239-7259",
            "fax_number": "320-239-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MAIN STREET",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563810040",
            "telephone_number": "320-239-7259",
            "fax_number": "320-239-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEWASKA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-239-7104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "MN03853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633621300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnewaska Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starbuck, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.