Organization Active NPI

Northwest Home Health Care Services, LLC

  • In Home Supportive Care Agency
  • Saint Paul, MN
National Provider Identifier
1346796182
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NORTHWEST HOME HEALTH CARE SERVICES, LLC
Practice address
1821 University Ave W Ste S348
Saint Paul, MN 55104-2876
Phone
(651) 493-3834
Fax
(651) 493-3835
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Sylvester Koku Ameletse
Title
Administrator
Phone
(651) 493-3834

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

1821 University Ave W Ste S348
Saint Paul, MN 55104-2876

Mailing address

1487 Goodwin Ave. N.
Oakdale, MN 55128-5701
Phone (651) 493-3834

Other identifiers 1

IdentifierTypeStateIssuer
343G2NOOtherMNBLUECROSS/BLUESHIELD OF MN

National Provider Directory

National Provider Directory

Locations

1821 University Ave W
Ste S348
Saint Paul, MN 55104
Phone (651) 493-3834

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1346796182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 GOODWIN AVE. N.",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285701",
            "telephone_number": "651-493-3834",
            "fax_number": "651-493-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S348",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042876",
            "telephone_number": "651-493-3834",
            "fax_number": "651-493-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "AMELETSE",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "KOKU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-493-3834"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD OF MN",
            "identifier": "343G2NO",
            "state": "MN"
        }
    ],
    "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 Dec 5, 2025; 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.