Organization Active NPI

Mande Family Care LLC

  • In Home Supportive Care Agency
  • Anoka, MN
National Provider Identifier
1487477295
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MANDE FAMILY CARE LLC
Practice address
2610 Cuttes Grove Ave
205
Anoka, MN 55303
Phone
(612) 707-1603
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Kolley Sanyang
Title
Owner
Phone
(612) 707-1603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2610 Cuttes Grove Ave
205
Anoka, MN 55303

Mailing address

2610 Cutters Grove Ave Apt 205
Anoka, MN 55303-6263
Phone (612) 707-1603

National Provider Directory

National Provider Directory

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": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1487477295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 CUTTERS GROVE AVE APT 205",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553036263",
            "telephone_number": "612-707-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 CUTTES GROVE AVE",
            "address_2": "205",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "55303",
            "telephone_number": "612-707-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "SANYANG",
        "authorized_official_first_name": "KOLLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-707-1603"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.