NPI 1699384131 · live from the CMS NPI Registry
Amazing Home LLC
Skilled Nursing Facility in Brooklyn Ctr, MN. National Provider Identifier 1699384131, active.
NPI record
| NPI | 1699384131 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 3220 County Road 10 Ste 117, Brooklyn Ctr, MN 55429 |
| Practice phone | 763-432-6557 |
| Enumerated | July 30, 2020 |
| Last updated | July 30, 2020 |
| Authorized official | Rhoda Pappoe, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Home Health | 163WH0200X | — |
| Home Health | 251E00000X | — |
| Home Infusion | 251F00000X | — |
| Nursing Care | 251J00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Assisted Living Facility, Assisted Living, Mental Illness | 3104A0625X | — |
| Assisted Living Facility, Assisted Living, Behavioral Disturbances | 3104A0630X | — |
| Alzheimer Center (Dementia Center) | 311500000X | — |
| Respite Care | 385H00000X | — |
| Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | — |
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.