Kayo Health Care Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KAYO HEALTH CARE CENTER LLC

Practice address

5941 6TH St NE
Fridley, MN 55432-5530

Phone

(612) 309-8940

NPI assigned

Oct 19, 2024

Organization subpart

No

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

Authorized official

Name

Zeritu Woyesa Mutal, RNNPI 1487475976

Title

Authorized Agent

Phone

(612) 309-8940

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zeritu Woyesa Mutal

  • Home Health Registered Nurse
  • Blaine, MN
  • NPI 1487475976
  NPD Authorized official

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1487475794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 6TH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325530",
            "telephone_number": "612-309-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 6TH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325530",
            "telephone_number": "612-309-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYO HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "MUTAL",
        "authorized_official_first_name": "ZERITU",
        "authorized_official_middle_name": "WOYESA",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "612-309-8940",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juihsien Hung Kao
• Kelly Marie Karjalahti, MA, LPC
• Heather Rose Karson, LICSW
• Jeffrey Owen Kasbohm, PA-C
• Lisa C Kastenbauer, LMFT
• Tiana Kazemi
• Kci USA, Inc.
• James William Keane, MD
• William Carter Keig, MD
• Bowen Eliot Keller, M.D.

• Assisted Living Facility in Fridley, MN
• Providers in Fridley, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.