Individual provider Active NPI

Kalkidan D Worku

  • In Home Supportive Care Agency
  • Saint Paul, MN
National Provider Identifier
1376407759
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
423050 Issued in MN
Practice address
626 Armstrong Ave # 102
Saint Paul, MN 55102-3800
Phone
(202) 621-4261
NPI assigned
Dec 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 423050 MN Primary

Addresses

Primary practice location

626 Armstrong Ave # 102
Saint Paul, MN 55102-3800

Mailing address

626 Armstrong Ave Ste 102
Saint Paul, MN 55102-3800
Phone (202) 621-4261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
423050MNMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Connect HSS Current Accepting new patients
Elohim Care LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

626 Armstrong Ave
Ste 102
Saint Paul, MN 55102
Phone (202) 621-4261

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1376407759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 ARMSTRONG AVE STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023800",
            "telephone_number": "202-621-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 ARMSTRONG AVE # 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023800",
            "telephone_number": "202-621-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKU",
        "first_name": "KALKIDAN",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "423050",
            "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 Dec 11, 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.