Organization Active NPI

Clear Care LLC

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1447948922
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CLEAR CARE LLC
Doing business as
ClearCare HSS
Practice address
1821 University Ave W Ste S137
Saint Paul, MN 55104-2891
Phone
(612) 859-5898
Fax
(651) 756-1821
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Mr. Clinton Gabriel Johnson Jr.NPI 1366221392
Title
Owner/Ceo
Phone
(612) 859-5898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1821 University Ave W Ste S137
Saint Paul, MN 55104-2891

Mailing address

1821 University Ave W Ste S137
Saint Paul, MN 55104-2891
Phone (612) 859-5898

Other identifiers 1

IdentifierTypeStateIssuer
A486630300MedicaidMN

Other names 1

  • ClearCare HSS Doing business as

National Provider Directory

National Provider Directory

Locations

1821 University Ave W
Ste S137
Saint Paul, MN 55104
Phone (651) 756-7687

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": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1447948922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S137",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042891",
            "telephone_number": "612-859-5898",
            "fax_number": "651-756-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S137",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042891",
            "telephone_number": "612-859-5898",
            "fax_number": "651-756-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "612-859-5898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A486630300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearCare HSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2023; 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.