Adonai Care Homes Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

362443 Issued in MN

Legal business name

ADONAI CARE HOMES CORPORATION

Doing business as

Amy Johnson Residence

Practice address

89 Virginia St
Saint Paul, MN 55102-2113

Phone

(651) 224-3363

Fax

(651) 290-2600

NPI assigned

Feb 11, 2014

Last updated

Feb 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donetta Johnson

Title

President

Phone

(651) 224-3363

Specialties & licenses 1

Addresses

Other names 1

• Amy Johnson Residence Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1043634074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 VIRGINIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022113",
            "telephone_number": "651-224-3363",
            "fax_number": "651-290-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 VIRGINIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022113",
            "telephone_number": "651-224-3363",
            "fax_number": "651-290-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONAI CARE HOMES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-224-3363"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "362443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Johnson Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.