Individual provider Active NPI

Hussen Wako Butta

  • Home Health Agency
  • Maplewood, MN
National Provider Identifier
1194356865
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
394663 Issued in MN
Practice address
2245 Ide CT
Maplewood, MN 55109-2635
Phone
(612) 578-7723
NPI assigned
Jan 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 394663 MN Primary

Addresses

Primary practice location

2245 Ide CT
Maplewood, MN 55109-2635

Mailing address

2245 Ide CT
Maplewood, MN 55109-2635
Phone (612) 578-7723

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

LicenseStateTypeSpecialty
394663MNMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Help Home Care, LLC Home Health CurrentSince Apr 11, 2021 Accepting new patients
A-Way Transportation LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1194356865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 IDE CT",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092635",
            "telephone_number": "612-578-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 IDE CT",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092635",
            "telephone_number": "612-578-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTA",
        "first_name": "HUSSEN",
        "middle_name": "WAKO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "394663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.