Teobi Enterprise LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TEOBI ENTERPRISE LLC

Practice address

5724 Bass Lake Rd
Crystal, MN 55429-2747

Phone

(763) 561-3434

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Thanh Tam N NguyenNPI 1477793263

Title

Ceo

Phone

(612) 598-2845

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thanh Tam N Nguyen, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1477793263
  NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1093403180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390445",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554390445",
            "telephone_number": "612-598-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 BASS LAKE RD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292747",
            "telephone_number": "763-561-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEOBI ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANH TAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-598-2845"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavon Swain, LICSW
• Mark Duane Sween, DDS
• Sweendent P.a.
• Ruby Waiyee Tam, D.O.
• Taylor Lawson, LLC
• Lilly Iha Thach, MDT, LDH
• Three K'S Care Services, Inc.
• Thrive Health Services LLC
• Jill Titze, NP
• Today'S Transportation Service, Inc

• Assisted Living Facility in Crystal, MN
• Providers in Crystal, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.