Active NPI
Minnewaska Home Care Inc
- Home Health Agency
- Starbuck, MN
National Provider Identifier
1992811434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- MN03853
- 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.
-
- Specialist
- Starbuck, MN
- NPI 1457575672
-
- Physical Therapist
- Starbuck, MN
- NPI 1730471913
-
- Geriatric Physical Therapist
- Alexandria, MN
- NPI 1164242707
-
- Physical Therapist
- Alexandria, MN
- NPI 1114141330
-
- Specialist
- Starbuck, MN
- NPI 1215151469
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MN03853 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 633621300 | Medicaid | MN |
Other names 1
NPPES NPI Registry- Minnewaska Community Health Services
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.