Payne Phalen Living at Home Block Nurse Program

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PAYNE PHALEN LIVING AT HOME BLOCK NURSE PROGRAM

Practice address

1280 Arcade St
Saint Paul, MN 55106-2067

Phone

(651) 774-7078

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Barbara Lavalleur

Title

Executive Director

Phone

(651) 774-7078

Specialties & licenses 1

Addresses

Other names 1

• Payne Phalen LAH/BNP Other name

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1497907265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062067",
            "telephone_number": "651-774-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062067",
            "telephone_number": "651-774-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE PHALEN LIVING AT HOME BLOCK NURSE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "LAVALLEUR",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-774-7078"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payne Phalen LAH/BNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jom Nea Blu in Paw
• Pree Kdee Paw
• Shem Ley Paw
• Angela Florence Pawlowski, PTA
• Mo Valerie Paylen, LICSW
• George Mbuh Payne, RN
• Skye V Payne, PH.D.
• PDG, PA
• PDG, PA
• PDG,P.a.

• In Home Supportive Care Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.