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BROOK T FANTAW
NPI 1427816784
Home Health in Minnetonka, MN

Active since March 11, 2024
3621 WILLISTON RD, MINNETONKA, MN 55345(952) 457-7546 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brook T Fantaw NPPES

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

BROOK T FANTAW (NPI 1427816784) is an individual home health provider in Minnetonka, Minnesota and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1427816784
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameBROOK T FANTAW
Location Address3621 WILLISTON RDMinnetonka, MN 55345-2129
Mailing Address3621 Williston RdMinnetonka, MN 55345-2129 · (952) 457-7546
Phone(952) 457-7546
Sole ProprietorYes
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1427816784 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.
3621 WILLISTON RD, Minnetonka, MN 55345
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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 Brook Fantaw's NPI number?

The NPI number for Brook Fantaw is 1427816784. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Brook Fantaw located?

Brook Fantaw practices at 3621 Williston Rd, Minnetonka, MN 55345. The listed phone number is (952) 457-7546.

What is Brook Fantaw'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 Brook Fantaw was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.