EMMANUEL HOME CARE
NPI 1780926444
Home Health in Detroit Lakes, MN

Active since March 20, 2013CLIA 24D0663272 · Waiver
1415 MADISON AVE, DETROIT LAKES, MN 56501(218) 847-4486(218) 847-4488 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emmanuel Home Care NPPES

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

EMMANUEL HOME CARE (NPI 1780926444) is a healthcare organization registered as a home health in Detroit Lakes, Minnesota and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dennis Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1780926444
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameECUMEN
Location Address1415 MADISON AVEDetroit Lakes, MN 56501-4542
Mailing Address3530 Lexington Ave NShoreview, MN 55126-8166 · (651) 766-4300 · Fax (651) 766-4479
Fax(218) 847-4488
Organization SubpartNo
Authorized OfficialDennis JohnsonVice President · (651) 766-4300
Enumeration DateMarch 20, 2013
NPI 1780926444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in MN · 357295
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.

1415 MADISON AVE, Detroit Lakes, MN 56501

Other Names 1

Doing Business AsEmmanuel Home Care

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0663272
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BRIDGET OKERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Emmanuel Home Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EMMANUEL HOME CARE

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Dietitian, Registered
1415 MADISON AVE
DETROIT LAKES, MN 56501
Occupational Therapist
1415 MADISON AVE
DETROIT LAKES, MN 56501
Occupational Therapist
1415 MADISON AVE
DETROIT LAKES, MN 56501
Speech-Language Pathologist
1415 MADISON AVE
DETROIT LAKES, MN 56501
Physical Therapist
1415 MADISON AVE
DETROIT LAKES, MN 56501
Hospice Care, Community Based
1415 MADISON AVE
DETROIT LAKES, MN 56501
Occupational Therapist (Physical Rehabilitation)
1415 MADISON AVE
DETROIT LAKES, MN 56501
Skilled Nursing Facility
1415 MADISON AVE
DETROIT LAKES, MN 56501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780926444, enumerated as an "organization" on March 20, 2013.

The provider is located at 1415 MADISON AVE DETROIT LAKES, MN 56501 and the phone number is (218) 847-4486.

Home Health with taxonomy code 251E00000X.