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ZACHARY HOME HEALTH CORPORATION
NPI 1912199647
Skilled Nursing Facility - Nursing Care, Pediatric in Eagan, MN

Active since August 16, 2007CLIA 24D1069937 · Waiver
680 SUMMER LN, EAGAN, MN 55123(651) 452-1834 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Zachary Home Health Corporation NPPES

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

ZACHARY HOME HEALTH CORPORATION (NPI 1912199647) is a healthcare organization registered as a nursing care, pediatric in Eagan, Minnesota and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Victor A Bangura, President, as its authorized official.

NPPES Registry Identity

NPI1912199647
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameZACHARY HOME HEALTH CORPORATION
Location Address680 SUMMER LNEagan, MN 55123-3014
Mailing Address680 Summer LnEagan, MN 55123-3014 · (651) 452-1834
Phone(651) 452-1834
Organization SubpartNo
Authorized OfficialVictor A BanguraPresident · (651) 452-8174
Enumeration DateAugust 16, 2007
✔ NPI 1912199647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License✔ Licensed in MN · 1034780-3-CFC
Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

680 SUMMER LN, Eagan, MN 55123
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1069937

Zachary Home Health Corporation · Eagan, MN
Active · expires Jun 17, 2027
CLIA Number24D1069937
Laboratory TypeHome Health Agency
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorVictor A. Banguar
Laboratory Phone(651) 452-8174
Laboratory LocationZachary Home Health Corporation680 Summer Lane, Eagan, MN 55123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ZHHC TRANSPORTATION
Secured Medical Transport (VAN)
680 SUMMER LN
EAGAN, MN 55123
Dakota County (651) 452-8174

Frequently Asked Questions

What is ZACHARY HOME HEALTH CORPORATION's NPI number?

The NPI number assigned to this healthcare provider is 1912199647, enumerated as an "organization" on August 16, 2007.

Where is the provider located?

The provider is located at 680 SUMMER LN EAGAN, MN 55123 and the phone number is (651) 452-1834.

What is the provider's specialty?

Skilled Nursing Facility with taxonomy code 3140N1450X and a focus in Nursing Care, Pediatric.