PETERSEN HOME CARE
NPI 1982893251
Home Health in Plymouth, MN

NPI Status: Active since October 23, 2007

Contact Information

12800 INDUSTRIAL PARK BLVD
SUITE 250
PLYMOUTH, MN
ZIP 55441
Phone: (763) 557-1126
Fax: (763) 559-2484

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  • Organization
  • Home Health

About PETERSEN HOME CARE

This page provides the complete NPI Profile along with additional information for Petersen Home Care, a provider established in Plymouth, Minnesota operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1982893251 assigned on October 2007. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Petersen Home Care. The authorized official of this NPI record is Joann Louise Sanford Rn (President/owner)

NPI
1982893251
Provider Legal Name
HOMECARE ASSIST, INC.
Other Organization Name
PETERSEN HOME CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12800 INDUSTRIAL PARK BLVD SUITE 250 PLYMOUTH, MN 55441
Location Phone
(763) 557-1126
Location Fax
(763) 559-2484
Mailing Address
12800 INDUSTRIAL PARK BLVD SUITE 250 PLYMOUTH, MN 55441
Mailing Phone
(763) 557-1126
Mailing Fax
(763) 559-2484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2007
Last Update Date
10-23-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License State
MN
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOANN LOUISE SANFORD RN

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(763) 557-1126

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982893251
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291621696210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 6 + 9 + 6 + 2 + 1 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1982893251 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659366532DR. SHIRLEY ANN FORS AU.D
Individual
Audiologist12800 INDUSTRIAL PARK BLVD #105
PLYMOUTH, MN 55441
(763) 550-0603
1801062963GOOD SAMARITAN TRANSPORTATION
Organization
Non-emergency Medical Transport (VAN)12800 INDUSTRIAL PARK BLVD STE 150D
PLYMOUTH, MN 55441
(763) 732-0118
1639336407HEARING HELP AUDIOLOGY CLINIC INC
Organization
Audiologist12800 INDUSTRIAL PARK BLVD #105
PLYMOUTH, MN 55441
(763) 559-0603
1396100954 ANNA SEDERBERG
Individual
Counselor (Professional)12800 INDUSTRIAL PARK BLVD SUITE 200
PLYMOUTH, MN 55441
(763) 412-0722
1528593134 HOLLY ROBINSON LICSW
Individual
Social Worker (Clinical)12800 INDUSTRIAL PARK BLVD 200
PLYMOUTH, MN 55441
(763) 412-0722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982893251, enumerated in the NPI registry as an "organization" on October 23, 2007

The provider is located at 12800 Industrial Park Blvd Suite 250 Plymouth, Mn 55441 and the phone number is (763) 557-1126

This medical organization specializes in Home Health with taxonomy code 251E00000X

This NPI record was last updated on October 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.