Active NPI
Clear Care LLC
- Case Management Agency
- Saint Paul, MN
National Provider Identifier
1447948922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clinton Gabriel Johnson Jr.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A486630300 | Medicaid | MN |
Other names 1
- ClearCare HSS
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counselor
- Saint Paul, MN
- NPI 1366221392
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.