Organization Active NPI

N&L Prime Home Care LLC

  • In Home Supportive Care Agency
  • Saint Paul, MN
National Provider Identifier
1083591101
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
N&L PRIME HOME CARE LLC
Practice address
1350 Pleasant Ave
Saint Paul, MN 55102-4010
Phone
(952) 292-6209
NPI assigned
Aug 20, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Levi Sou Yang
Title
Owner
Phone
(952) 292-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1350 Pleasant Ave
Saint Paul, MN 55102-4010

Mailing address

1350 Pleasant Ave
Saint Paul, MN 55102-4010
Phone (952) 292-6209

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1083591101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 PLEASANT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024010",
            "telephone_number": "952-292-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 PLEASANT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024010",
            "telephone_number": "952-292-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N&L PRIME HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "SOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-292-6209"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 2025; 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.