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HOMESTEAD DIVERSITY LLC
NPI 1114619871
Technician - Personal Care Attendant in Burnsville, MN

Active since May 22, 2023
3408 E 125TH ST, BURNSVILLE, MN 55337(515) 230-8902 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homestead Diversity Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMESTEAD DIVERSITY LLC (NPI 1114619871) is a healthcare organization registered as a personal care attendant in Burnsville, Minnesota and active in the NPI registry since May 2023. The organization lists Courtny Squibb, Coo, as its authorized official.

NPPES Registry Identity

NPI1114619871
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameHOMESTEAD DIVERSITY LLC
Location Address3408 E 125TH STBurnsville, MN 55337-3410
Mailing Address3408 E 125th StBurnsville, MN 55337-3410 · (515) 230-8902
Phone(515) 230-8902
Organization SubpartNo
Authorized OfficialCourtny SquibbCoo · (515) 230-8902
Enumeration DateMay 22, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1114619871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
3408 E 125TH ST, Burnsville, MN 55337
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Homestead Diversity LLC's NPI number?

The NPI number for Homestead Diversity LLC is 1114619871. It was assigned to this organization in the NPPES registry on May 22, 2023.

Where is Homestead Diversity LLC located?

Homestead Diversity LLC is located at 3408 E 125th St, Burnsville, MN 55337. The listed phone number is (515) 230-8902.

What is Homestead Diversity LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Homestead Diversity LLC was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.