Mama Betty Homes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1072761 Issued in MN

Legal business name

MAMA BETTY HOMES

Practice address

2600 7TH Ave E
North St Paul, MN 55109-3103

Phone

(651) 399-3470

Fax

(651) 770-4905

NPI assigned

Mar 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Becky Cherotich Gallati

Title

Owner

Phone

(651) 399-3470

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1023401437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 7TH AVE E",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093103",
            "telephone_number": "651-399-3470",
            "fax_number": "651-770-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 7TH AVE E",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093103",
            "telephone_number": "651-399-3470",
            "fax_number": "651-770-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA BETTY HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "GALLATI",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "CHEROTICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-399-3470"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1072761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Klaetsch
• Matthew B Laur
• Lindsey K Lee
• Sia Lee
• Isabelle Maria Lombardi
• Donald R Mandel, DC
• David Arthur Margenau
• Molly Catherine McClure, LICSW
• John Allan Menez, RN
• Kathy Merschman

• Adult Care Home Facility in North St Paul, MN
• Providers in North St Paul, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.