Active NPI
Homeland Health Specialists Inc
- Community Health Registered Nurse
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- R121223-7
- Legal business name
- HOMELAND HEALTH SPECIALISTS INC
- Practice address
- 1621 E Hennepin Ave Ste 230
Minneapolis, MN 55414-2489 - Phone
- (763) 746-8060
- Fax
- (763) 746-8063
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Wisted
- Title
- President & Ceo
- Phone
- (847) 894-0774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R121223-7 | MN | Primary |
Addresses
Primary practice location
1621 E Hennepin Ave Ste 230
Minneapolis, MN 55414-2489
Mailing address
1621 E Hennepin Ave Ste 230
Minneapolis, MN 55414-2489
Phone (763) 746-8060
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164398 | Other | MN | UCARE |
| 8300115 | Other | MEDICA | |
| 234933100 | Medicaid | MN | |
| 4605640 | Other | MN | BCBS OF MN |
| 87361 | Other | HEALTH PARTNERS | |
| 1031834 | Other | PREFERRED ONE | |
| 870000829 | Other | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031231000235 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850290677 | Practice locations: Minneapolis, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1097815 | Homeland Health Specialists Inc | Certificate of waiver | Apr 2, 2027 |
National Provider Directory
National Provider DirectoryLocations (25 of 54)
3010 Bemidji Ave N
Bemidji, MN 56601
406 W Washington St
Brainerd, MN 56401
200 S 6th St
Brainerd, MN 56401
6300 Shingle Creek Pkwy
Ste 170
Brooklyn Center, MN 55430
205 1st St S
Buffalo, MN 55313
Phone (763) 682-2244
555 Highway 55 E
Buffalo, MN 55313
630 1st Ave NW
Byron, MN 55920
1001 Highway 95 E
Ste 130A
Cambridge, MN 55008
316 W Lake St
Chisholm, MN 55719
Phone (218) 254-7900
900 Central St E
Detroit Lakes, MN 56501
826 Summit Ave
Detroit Lakes, MN 56501
325 S Lake Ave
Duluth, MN 55802
2304 Mountain Shadow Dr
Duluth, MN 55811
121 Demers Ave
East Grand Forks, MN 56721
800 A Ave
Eveleth, MN 55734
25 4th St NW
Ste 104
Faribault, MN 55021
225 W Lincoln Ave
Fergus Falls, MN 56537
Phone (218) 531-1424
126 2ND St NW
Fosston, MN 56542
113 E Burlingame St
Ghent, MN 56239
606 11th St E
Glencoe, MN 55336
535 E Highway 2
Grand Rapids, MN 55744
207 W 42ND St
Hibbing, MN 55746
608 Fire Monument Rd
Hinckley, MN 55037
3824 SW 93rd St
Hope, MN 56046
225 Shady Ridge Rd NW
Hutchinson, MN 55350
Phone (320) 587-7077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Saint Paul, MN
- NPI 1225144207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1992818231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 E HENNEPIN AVE STE 230",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142489",
"telephone_number": "763-746-8060",
"fax_number": "763-746-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 E HENNEPIN AVE STE 230",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142489",
"telephone_number": "763-746-8060",
"fax_number": "763-746-8063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMELAND HEALTH SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "WISTED",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "847-894-0774"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": "MN",
"license": "R121223-7",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "164398",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "8300115",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "234933100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "4605640",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "87361",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1031834",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "870000829",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.