Organization Active NPI

LJ Home Health Service, Inc

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1487938437
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
247276 Issued in MN
Legal business name
LJ HOME HEALTH SERVICE, INC
Practice address
1990 Suburban Ave
Suite 2008
Saint Paul, MN 55119-7001
Phone
(651) 261-4599
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Ms. Lucy Mae Young, LPN
Title
Ceo/Owner
Phone
(651) 261-4599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 247276 MN Primary

Addresses

Primary practice location

1990 Suburban Ave
Suite 2008
Saint Paul, MN 55119-7001

Mailing address

6987 Collingwood LN
#6
Woodbury, MN 55125-2119
Phone (651) 261-4599

National Provider Directory

National Provider Directory

Locations

1990 Suburban Ave
Ste 2008
Saint Paul, MN 55119
Phone (651) 261-4599

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1487938437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6987 COLLINGWOOD LN",
            "address_2": "#6",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252119",
            "telephone_number": "651-261-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 SUBURBAN AVE",
            "address_2": "SUITE 2008",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551197001",
            "telephone_number": "651-261-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ HOME HEALTH SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "651-261-4599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "247276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.