John Ctsiambu Yufanyi

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Practice address

12041 78TH St NE
Otsego, MN 55330-4822

Phone

(612) 636-3800

Fax

(763) 777-9044

NPI assigned

Mar 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Yufanyi Holding Group LLC Paramount Care

  • Nursing Care Agency
  • Otsego, MN
  • NPI 1376169003

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1235765579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 78TH ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553304822",
            "telephone_number": "612-636-3800",
            "fax_number": "763-777-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 78TH ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553304822",
            "telephone_number": "612-636-3800",
            "fax_number": "763-777-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUFANYI",
        "first_name": "JOHN",
        "middle_name": "CTSIAMBU",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "393078",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Wieczorek, R.N
• Sophie Grace Williams
• Nicollet Sue Young, OTD
• Samantha Jane Young
• Yufanyi Holding Group LLC Paramount Care
• Louis Kory Zam, D.C.
• Michelle M Zirngible

• Nursing Care Agency in Otsego, MN
• Providers in Otsego, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.