Organization Active NPI

Allegiance Ability Assistance Health Care LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1124418330
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
366786 Issued in MN
Legal business name
ALLEGIANCE ABILITY ASSISTANCE HEALTH CARE LLC
Practice address
1047 University Ave W Ste 102
Saint Paul, MN 55104-4751
Phone
(612) 747-8646
Fax
(651) 647-0909
NPI assigned
Jan 26, 2015
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Katherine Waletski
Title
Ceo/ Owner
Phone
(612) 747-8646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 366786 MN Primary

Addresses

Primary practice location

1047 University Ave W Ste 102
Saint Paul, MN 55104-4751

Mailing address

1047 University Ave W Ste 102
Saint Paul, MN 55104-4751
Phone (612) 747-8646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1124418330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 UNIVERSITY AVE W STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044751",
            "telephone_number": "612-747-8646",
            "fax_number": "651-647-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 UNIVERSITY AVE W STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044751",
            "telephone_number": "612-747-8646",
            "fax_number": "651-647-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE ABILITY ASSISTANCE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "WALETSKI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "612-747-8646"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "366786",
            "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 May 27, 2021; 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.