Organization Active NPI

Ke Holdings LLC

  • Home Health Agency
  • Prior Lake, MN
National Provider Identifier
1366239170
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KE HOLDINGS LLC
Practice address
16219 Evanston Ave SE
Prior Lake, MN 55372-2596
Phone
(612) 246-2425
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Rhoda Yassin
Title
Director
Phone
(612) 246-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16219 Evanston Ave SE
Prior Lake, MN 55372-2596

Mailing address

16219 Evanston Ave SE
Prior Lake, MN 55372-2596

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1366239170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16219 EVANSTON AVE SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16219 EVANSTON AVE SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722596",
            "telephone_number": "612-246-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "YASSIN",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-246-2425"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.