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JOHNSON CUSTOM SERVICES, LLC
NPI 1689400954
In Home Supportive Care in Blaine, MN

Active since September 12, 2024
1400 131ST AVE NE, BLAINE, MN 55449(763) 412-7519 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnson Custom Services, Llc NPPES

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

JOHNSON CUSTOM SERVICES, LLC (NPI 1689400954), doing business as Senior Helpers North Metro, is a healthcare organization registered as an in home supportive care in Blaine, Minnesota and active in the NPI registry since September 2024. The organization lists Corey Daniel Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1689400954
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameJOHNSON CUSTOM SERVICES, LLC
Location Address1400 131ST AVE NEBlaine, MN 55449-4124
Mailing Address1400 131st Ave NeBlaine, MN 55449-4124 · (763) 412-7519
Phone(763) 412-7519
Organization SubpartNo
Authorized OfficialCorey Daniel JohnsonOwner · (763) 412-7519
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1689400954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
1400 131ST AVE NE, Blaine, MN 55449
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Other Names 1

Doing Business AsSenior Helpers North Metro

Other Providers at the Same Location NPPES

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

PAIN AND BRAIN HEALING CENTER, LLC
Clinic/Center
1400 131ST AVE NE
BLAINE, MN 55449
Anoka County (763) 862-7100

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 Johnson Custom Services, LLC's NPI number?

The NPI number for Johnson Custom Services, LLC is 1689400954. It was assigned to this organization in the NPPES registry on September 12, 2024. The provider is doing business as Senior Helpers North Metro.

Where is Johnson Custom Services, LLC located?

Johnson Custom Services, LLC is located at 1400 131st Ave NE, Blaine, MN 55449. The listed phone number is (763) 412-7519.

What is Johnson Custom Services, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Johnson Custom Services, LLC was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.