Active NPI
Mande Family Care LLC
- In Home Supportive Care Agency
- Anoka, MN
National Provider Identifier
1487477295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Minneapolis, MN
- NPI 1457105579
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.