Active NPI
MTT Fields Care, LLC
- Home Health Agency
- Plymouth, MN
National Provider Identifier
1487499299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MTT FIELDS CARE, LLC
- Practice address
- 5290 Fountain LN N
Plymouth, MN 55446-4642 - Phone
- (612) 961-0018
- NPI assigned
- Jun 25, 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
- Mirriam Chipoka
- Title
- Owner
- Phone
- (612) 961-0018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5290 Fountain LN N
Plymouth, MN 55446-4642
Mailing address
5290 Fountain LN N
Plymouth, MN 55446-4642
Phone (612) 961-0018
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2332957 | MTT Fields Care LLC | Certificate of waiver | Oct 27, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1487499299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5290 FOUNTAIN LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464642",
"telephone_number": "612-961-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5290 FOUNTAIN LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464642",
"telephone_number": "612-961-0018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MTT FIELDS CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "CHIPOKA",
"authorized_official_first_name": "MIRRIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-961-0018"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.