OrganizationActive
Provenance Homes
NPI 1285410746 · In Home Supportive Care Agency · St Louis Park, MN
Provenance Homes is a In Home Supportive Care Agency organization in St Louis Park, MN (NPI 1285410746).
Provider details
- NPI number
- 1285410746
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Parent organization
- Provenance Healthcare Staffing LLC
- Organization subpart
- Yes
- Authorized official
- Sabrina Globus, Owner(612) 741-7311
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1650 W End Blvd Ste 100
St Louis Park, MN 55416-5369
Phone: (612) 261-6988
Fax: (612) 465-1402
Street-level locationGet directions
Mailing address
1650 W End Blvd Ste 100
St Louis Park, MN 55416-5369
Other names (DBA / former)
- Doing business as
- Provenance Homes
- Doing business as
- Provenance Homes
Additional practice locations (2)
- 5547 Lyndale Ave NBrooklyn Center, MN 55430-3237Phone: (612) 261-6988
- 5601 Lyndale Ave NBrooklyn Center, MN 55430-3238Phone: (612) 261-6988
Registry dates
- Enumerated
- 2023-08-31
- Last updated
- 2023-10-31
- Certified
- 2023-10-24
Frequently asked questions
- What is Provenance Homes's NPI number?
- Provenance Homes's National Provider Identifier (NPI) is 1285410746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provenance Homes?
- Provenance Homes is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Provenance Homes located?
- Provenance Homes's practice location on file with NPPES is 1650 W End Blvd Ste 100, St Louis Park, MN 55416-5369.
- What is Provenance Homes's phone number?
- The practice phone number listed in the NPPES registry for Provenance Homes is (612) 261-6988.
- Who is the authorized official for Provenance Homes?
- The authorized official listed on Provenance Homes's NPPES record is Sabrina Globus, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provenance Homes's NPI active?
- Yes — Provenance Homes's NPI (1285410746) is active in the NPPES registry as of the last update on 2023-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.