Organization Active NPI

Elite Home Health Services, Incorporated

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1295878452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HOME HEALTH SERVICES, INCORPORATED
Practice address
1533 University Ave W Ste 110
Saint Paul, MN 55104-3910
Phone
(651) 230-6030
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mayshong Jalao
Title
Director of Nursing
Phone
(651) 230-6030

Specialties & licenses 1

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

Addresses

Primary practice location

1533 University Ave W Ste 110
Saint Paul, MN 55104-3910

Mailing address

1533 University Ave W Ste 110
Saint Paul, MN 55104-3910
Phone (651) 230-6030

National Provider Directory

National Provider Directory

Locations

1533 University Ave W
Ste 110
Saint Paul, MN 55104
Phone (651) 230-6030

1533 University Ave W
#110
Saint Paul, MN 55104
Phone (651) 644-5355

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295878452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 UNIVERSITY AVE W STE 110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043910",
            "telephone_number": "651-230-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 UNIVERSITY AVE W STE 110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043910",
            "telephone_number": "651-230-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTH SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JALAO",
        "authorized_official_first_name": "MAYSHONG",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "651-230-6030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "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 Aug 22, 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.