Active NPI
Minnesota Homecare Professionals Inc.
- Home Health Agency
- St. Paul, MN
National Provider Identifier
1033366166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 041427100
- Legal business name
- MINNESOTA HOMECARE PROFESSIONALS INC.
- Practice address
- 625 Snelling Ave N
Suite 1
St. Paul, MN 55104-4518 - Phone
- (651) 644-2188
- Fax
- (651) 644-2198
- NPI assigned
- Aug 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lyfonge Yang
- Title
- President/Ceo
- Phone
- (651) 644-2188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 041427100 | MN | Primary |
Addresses
Primary practice location
625 Snelling Ave N
Suite 1
St. Paul, MN 55104-4518
Mailing address
PO Box 14285
Saint Paul, MN 55114-0285
Phone (651) 644-2188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041427100 | Medicaid | MN |
Other names 1
- Minnesota HomeCare Professionals
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1033366166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14285",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551140285",
"telephone_number": "651-644-2188",
"fax_number": "651-644-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 SNELLING AVE N",
"address_2": "SUITE 1",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "551044518",
"telephone_number": "651-644-2188",
"fax_number": "651-644-2198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNESOTA HOMECARE PROFESSIONALS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "LYFONGE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "651-644-2188",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "041427100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041427100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Minnesota HomeCare Professionals",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St. Paul, MN
- Minnesota Home Care Provider Inc.
- Minnesota Home Health Care Corporation
- Minnesota Home Health Care One
- Minnesota Home Health Care One, Inc
- Minnesota Home Health Services LLC
- Minnesota Internship Center
- Minnesota Lotus LLC
- Minnesota Luna Care Physical Therapy LLC
- Minnesota Math and Science Academy
- Minnesota Mental Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.