Organization Active NPI

MTT Fields Care, LLC

  • Home Health Agency
  • Plymouth, MN
National Provider Identifier
1487499299
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 25, 2024

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)CodeLicenseStatePrimary
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2332957MTT Fields Care LLC5290 Fountain LN, N, Plymouth, MN 55446Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.