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1518179415 NPI number — CARE 2000 HOMEHEALTH CARE SERVICES OF MOORHEAD. MN

NPI Number: 1518179415
Health Care Provider/Practitioner: CARE 2000 HOMEHEALTH CARE SERVICES OF MOORHEAD. MN

Information about “1518179415” NPI (CARE 2000 HOMEHEALTH CARE SERVICES OF MOORHEAD. MN) exists in 1518179415 in HTML format HTML  |  1518179415 in plain Text format TXT  |  1518179415 in PDF (Portable Document Format) PDF  |  1518179415 in an XML format XML  formats.

NPI Number : 1518179415 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518179415",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CARE 2000 HOMEHEALTH CARE SERVICES OF MOORHEAD. MN",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8200 HUMBOLDT AVE S STE 303",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLOOMINGTON",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55431-1453",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-886-4414",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "725 CENTER AVE STE 3A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOORHEAD",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "56560-1972",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "218-233-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/04/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WASSMER",
    "AuthorizedOfficialFirstName": "FRANK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "952-886-4414",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "4073A",
          "LicenseNumberStateCode": "ND",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "333818",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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