Kong Meng Yang

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

600 Greenwood Ave Lot 26
Tracy, MN 56175

Phone

(763) 276-5167

NPI assigned

Mar 5, 2018

Last updated

Jun 16, 2018By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Comfort Home Care, Inc

  • Home Health Agency
  • Tracy, MN
  • NPI 1053894907
  NPD (past) Authorized official

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1508368630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 LOMBARDY LN",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554282947",
            "telephone_number": "763-276-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GREENWOOD AVE LOT 26",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "56175",
            "telephone_number": "763-276-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KONG",
        "middle_name": "MENG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH",
            "identifier": "38",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Area Schools
• Tracy Chiropractic, P.a.
• Tracy Healthcare Center, Inc (Prairieview Healthcare Center)
• Tracy Nursing Home Inc
• Trudy Terreen Ujdur, MA, C-FNP
• Justin Tonchie Young, M.D.
• Blythe S Zeug

• Home Health Agency in Tracy, MN
• Providers in Tracy, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.