Senior Home Living Inc

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SENIOR HOME LIVING INC

Practice address

1736 Cope Ave E Ste 2
Maplewood, MN 55109-2661

Phone

(952) 456-6561

Fax

(952) 456-6563

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Gaolee Crystie Yang

Title

Owner

Phone

(952) 456-6561

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Maplewood Home Care Doing business as

Locations

Practitioners 1

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

• Yong Yang

  • Mental Health Counselor
  • Saint Paul, MN
  • NPI 1689363244
  NPD

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1093903502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 COPE AVE E STE 2",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092661",
            "telephone_number": "952-456-6561",
            "fax_number": "952-456-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 COPE AVE E STE 2",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092661",
            "telephone_number": "952-456-6561",
            "fax_number": "952-456-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "GAOLEE",
        "authorized_official_middle_name": "CRYSTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-456-6561"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "337545",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A721135000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Scott, LICSW
• Morgan Seashore
• Angela Seiberlich, SLP
• Melissa Seidel, LGSW
• Vanessa Tevy Seng-Kapadia, DO
• Senior Recovery Program
• Seniors Caring Companions Inc
• Gaurang Surendra Shah, MD
• Amjad Shahid, MD
• James C Shanks, MD

• Personal Care Attendant in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Personal Care Attendant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.