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AMAZING HOME LLC NPI 1699384131


NPI Information

NPI: 1699384131
Provider Name: AMAZING HOME LLC
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
3220 COUNTY ROAD 10 STE 117
BROOKLYN CTR, MN
ZIP 55429
Phone: (763) 432-6557
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AMAZING HOME LLC is a skilled nursing facility in Brooklyn Ctr, MN. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. AMAZING HOME LLC NPI is 1699384131. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3220 COUNTY ROAD 10 STE 117
BROOKLYN CTR, MN
ZIP 55429-073
Phone: (763) 432-6557
Fax: (833) 962-6144

The provider's authorized official is Rhoda Pappoe .
The authorized official title is Owner and has the following contact phone number (763) 432-6557.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 7/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome HealthNo
2251E00000XHome HealthNo
3251F00000XHome InfusionNo
4251J00000XNursing CareNo
53104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
63104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
7311500000XAlzheimer Center (Dementia Center)No
8314000000XSkilled Nursing FacilityYes
9385H00000XRespite CareNo
10385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
11251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.