Active NPI
Hussen Wako Butta
- Home Health Agency
- Maplewood, MN
National Provider Identifier
1194356865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 394663
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 394663 | MN | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Help Home Care, LLC | Home Health | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- Roseville, MN
- NPI 1740141258
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.