Active NPI
Kalkidan D Worku
- In Home Supportive Care Agency
- Saint Paul, MN
National Provider Identifier
1376407759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 423050
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 423050 | MN | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect HSS | Current | Accepting new patients | |
| Elohim Care LLC | Current | 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.
-
- Counselor
- West Saint Paul, MN
- NPI 1073230694
-
- Home Health Agency
- Saint Paul, MN
- NPI 1295668572
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.