OrganizationActive
Provisional Home Health LLC
NPI 1659659811 · Home Health Agency · Rockford, MN
Provisional Home Health LLC is a Home Health Agency organization in Rockford, MN (NPI 1659659811).
Provider details
- NPI number
- 1659659811
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kristine Carr, Director of Nursing(763) 575-7281
- License
- 353499 (MN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4110 Maple Hurst Dr S
Rockford, MN 55373-4565
Phone: (763) 575-7281
Street-level locationGet directions
Mailing address
4110 Maple Hurst Dr S
Rockford, MN 55373-4565
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2011-07-21
Frequently asked questions
- What is Provisional Home Health LLC's NPI number?
- Provisional Home Health LLC's National Provider Identifier (NPI) is 1659659811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provisional Home Health LLC?
- Provisional Home Health LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Provisional Home Health LLC located?
- Provisional Home Health LLC's practice location on file with NPPES is 4110 Maple Hurst Dr S, Rockford, MN 55373-4565.
- What is Provisional Home Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Provisional Home Health LLC is (763) 575-7281.
- Who is the authorized official for Provisional Home Health LLC?
- The authorized official listed on Provisional Home Health LLC's NPPES record is Kristine Carr, Director of Nursing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provisional Home Health LLC's NPI active?
- Yes — Provisional Home Health LLC's NPI (1659659811) is active in the NPPES registry as of the last update on 2011-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.