Active NPI
Life Insurance Agency, Inc.
Doing business as Home Healthcare Agency
- Home Health Agency
- Roseville, MN
National Provider Identifier
1063762169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFE INSURANCE AGENCY, INC.
- Doing business as
- Home Healthcare Agency
- Practice address
- 2489 Rice St Ste 295
Suite 295
Roseville, MN 55113-3738 - Phone
- (952) 388-7128
- Fax
- (800) 532-1684
- NPI assigned
- Sep 16, 2012
- Last updated
- Mar 14, 2016
- 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. Tubtshwm Washington Yang
- Title
- President
- Phone
- (952) 388-7128
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MN | Primary | |
| Home Infusion Agency | 251F00000X | MN | ||
| In Home Supportive Care Agency | 253Z00000X | MN |
Addresses
Primary practice location
2489 Rice St Ste 295
Suite 295
Roseville, MN 55113-3738
Mailing address
2489 Rice St Ste 295
Suite 295
Roseville, MN 55113-3738
Phone (952) 388-7128
Other names 1
- Home Healthcare Agency
National Provider Directory
National Provider DirectoryLocations
2489 Rice St
Ste 295
Roseville, MN 55113
Phone (952) 388-7128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457913600000",
"number": "1063762169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2489 RICE ST STE 295",
"address_2": "SUITE 295",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133738",
"telephone_number": "952-388-7128",
"fax_number": "800-532-1684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2489 RICE ST STE 295",
"address_2": "SUITE 295",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133738",
"telephone_number": "952-388-7128",
"fax_number": "800-532-1684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE INSURANCE AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-16",
"last_updated": "2016-03-14",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "TUBTSHWM",
"authorized_official_middle_name": "WASHINGTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "952-388-7128",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Healthcare Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.