Jestino K Kabba

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

3300 Bass Lake Rd Ste 211
Brooklyn Center, MN 55429-3065

Phone

(612) 225-8107

NPI assigned

Feb 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ready for You Home Health Care

  • Home Health Agency
  • Brooklyn Center, MN
  • NPI 1639513658
  NPD (past) Authorized official

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1487993432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE RD STE 211",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293065",
            "telephone_number": "612-225-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE RD STE 211",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293065",
            "telephone_number": "612-225-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBA",
        "first_name": "JESTINO",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Josselyn
• Journeys Home Care LLC
• Denise Marie Juarez, OTR/L
• Jubilee Home Care Inc.
• Fatima Renee Kaba
• Laura Kahler Loftness, LICSW, CPRP
• John H Kaintz, M.D.
• Nathaniel Kaiyeepu
• Victoria Kammerer, MA, LMFT
• Jayne Margaret Kapsh

• Attendant Care Provider in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Attendant Care Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.