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CITY HOME HEALTHCARE LLC
NPI 1184587727
Home Health in Fridley, MN

Active since December 09, 2025
880 MOORE LAKE DR W, FRIDLEY, MN 55432(763) 245-3686 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About City Home Healthcare Llc NPPES

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

CITY HOME HEALTHCARE LLC (NPI 1184587727) is a healthcare organization registered as a home health in Fridley, Minnesota and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Fridley and lists Andrea Sampson, Owner, as its authorized official.

NPPES Registry Identity

NPI1184587727
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCITY HOME HEALTHCARE LLC
Location Address880 MOORE LAKE DR WFridley, MN 55432-6905
Mailing Address880 Moore Lake Dr WFridley, MN 55432-6905
Phone(763) 245-3686
Organization SubpartNo
Authorized OfficialAndrea SampsonOwner · (763) 245-3686
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1184587727 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.
880 MOORE LAKE DR W, Fridley, MN 55432
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Secondary Practice Location 1

Location 17671 Central Ave NE Ste 207Fridley, MN 55432-3542 · Phone (763) 245-3686

Other Providers at the Same Location NPPES

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

REVA HEALTH AUTISM CENTER LLC
Clinic/Center
880 MOORE LAKE DR W
FRIDLEY, MN 55432
Anoka County (763) 245-3686

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 City Home Healthcare LLC's NPI number?

The NPI number for City Home Healthcare LLC is 1184587727. It was assigned to this organization in the NPPES registry on December 9, 2025.

Where is City Home Healthcare LLC located?

City Home Healthcare LLC is located at 880 Moore Lake Dr W, Fridley, MN 55432. The listed phone number is (763) 245-3686.

What is City Home Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for City Home Healthcare LLC was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.