Organization Active NPI

Minnesota Homecare Professionals Inc.

  • Home Health Agency
  • St. Paul, MN
National Provider Identifier
1033366166
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
041427100 Issued in MN
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

Updated by the provider on Aug 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
041427100MedicaidMN

Other names 1

  • Minnesota HomeCare Professionals Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.