Organization Active NPI

Ymg Home Care

  • Home Health Agency
  • St Louis Park, MN
National Provider Identifier
1306132337
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
YMG HOME CARE
Practice address
5811 Cedar Lake Rd S
Unite G
St Louis Park, MN 55416-1458
Phone
(952) 412-3545
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Mr. Yakov Giterman
Title
President
Phone
(952) 412-3545

Specialties & licenses 1

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

Addresses

Primary practice location

5811 Cedar Lake Rd S
Unite G
St Louis Park, MN 55416-1458

Mailing address

5811 Cedar Lake Rd S
Unite G
St Louis Park, MN 55416-1458
Phone (952) 412-3545

Other identifiers 1

IdentifierTypeStateIssuer
A394906100MedicaidMN

National Provider Directory

National Provider Directory

Locations

5811 Cedar Lake Rd S
#G
St Louis Park, MN 55416
Phone (952) 412-3545

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1306132337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 CEDAR LAKE RD S",
            "address_2": "UNITE G",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161458",
            "telephone_number": "952-412-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 CEDAR LAKE RD S",
            "address_2": "UNITE G",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161458",
            "telephone_number": "952-412-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMG HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "GITERMAN",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-412-3545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A394906100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.