NPI 1114666559
Home Health in Champlin, MN

Active since June 02, 2022
10907 XYLON LN N, CHAMPLIN, MN 55316(763) 250-3079 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About NPPES

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

NPPES Registry Identity

NPI1114666559
Entity TypeOrganization
Primary Taxonomy251E00000X
Location Address10907 XYLON LN NChamplin, MN 55316-3712
Mailing Address10907 Xylon Ln NChamplin, MN 55316-3712 · (763) 250-3079
Organization SubpartNo
Authorized OfficialNehemiah Otto GarleyDirector · (763) 250-3079
Enumeration DateJune 2, 2022
NPPES CertifiedJune 2, 2022
NPI 1114666559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
10907 XYLON LN N, Champlin, MN 55316

Other Names 1

Doing Business AsThe Garson Group

Other Identifiers 2

Other01291977MN · Pca
Medicaid01291977MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
10907 XYLON LN N
CHAMPLIN, MN 55316