Active NPI
Pay Soung
- Home Health Agency
- Little Canada, MN
National Provider Identifier
1174058697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- A741158800
- Practice address
- 848 Aspen Cir
Little Canada, MN 55109-1003 - Phone
- (651) 398-1728
- Fax
- (651) 436-2349
- NPI assigned
- Apr 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A741158800 | MN | Primary |
Addresses
Primary practice location
848 Aspen Cir
Little Canada, MN 55109-1003
Mailing address
848 Aspen Cir
Little Canada, MN 55109-1003
Phone (651) 398-1728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562366725 | Other | MN | HOME HEALTH CARE AGENCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A741158800 | MN | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Home Health Care Inc | Home Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Little Canada, MN
- NPI 1811422686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1174058697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 ASPEN CIR",
"city": "LITTLE CANADA",
"state": "MN",
"postal_code": "551091003",
"telephone_number": "651-398-1728",
"fax_number": "651-436-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 ASPEN CIR",
"city": "LITTLE CANADA",
"state": "MN",
"postal_code": "551091003",
"telephone_number": "651-398-1728",
"fax_number": "651-436-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUNG",
"first_name": "PAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-21",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "A741158800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH CARE AGENCY",
"identifier": "562366725",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Canada, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.