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SOURCE HEALTHCARE, LLC
NPI 1275104671
Home Health in Minneapolis, MN

Active since July 07, 2021
1513 BRYANT AVE N, MINNEAPOLIS, MN 55411(612) 281-3766 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Source Healthcare, Llc NPPES

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

SOURCE HEALTHCARE, LLC (NPI 1275104671) is a healthcare organization registered as a home health in Minneapolis, Minnesota and active in the NPI registry since July 2021. The organization lists Christian O Ezeokeke, Owner, as its authorized official.

NPPES Registry Identity

NPI1275104671
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSOURCE HEALTHCARE, LLC
Location Address1513 BRYANT AVE NMinneapolis, MN 55411-3258
Mailing Address1513 Bryant Ave NMinneapolis, MN 55411-3258 · (612) 281-3766
Phone(612) 281-3766
Organization SubpartNo
Authorized OfficialChristian O EzeokekeOwner · (612) 281-3766
Enumeration DateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1275104671 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.
1513 BRYANT AVE N, Minneapolis, MN 55411
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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 Source Healthcare, LLC's NPI number?

The NPI number for Source Healthcare, LLC is 1275104671. It was assigned to this organization in the NPPES registry on July 7, 2021.

Where is Source Healthcare, LLC located?

Source Healthcare, LLC is located at 1513 Bryant Ave N, Minneapolis, MN 55411. The listed phone number is (612) 281-3766.

What is Source 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 Source Healthcare, LLC was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.