Organization Active NPI

Kelove Carruthers Inc

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1083495444
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KELOVE CARRUTHERS INC
Doing business as
House Of Love Community Resources
Practice address
885 Conway St
Saint Paul, MN 55106-5604
Phone
(763) 807-1237
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Kelove Tisha Carruthers
Title
Owner
Phone
(763) 807-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

885 Conway St
Saint Paul, MN 55106-5604

Mailing address

885 Conway St
Saint Paul, MN 55106-5604
Phone (763) 807-1237

Other names 1

  • House Of Love Community Resources 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": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1083495444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CONWAY ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065604",
            "telephone_number": "763-807-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CONWAY ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065604",
            "telephone_number": "763-807-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELOVE CARRUTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS",
        "authorized_official_first_name": "KELOVE",
        "authorized_official_middle_name": "TISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-807-1237"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House Of Love Community Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.