Individual provider Active NPI

Johann Muff, CNA, OWNER

  • Assisted Living Facility
  • New York Mills, MN
National Provider Identifier
1528728086
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
39818 Issued in MN
Practice address
402 Doc Hanson St
New York Mills, MN 56567-4620
Phone
(218) 639-2573
NPI assigned
Dec 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 10512543 MN
Assisted Living Facility 310400000X 39818 MN Primary

Addresses

Primary practice location

402 Doc Hanson St
New York Mills, MN 56567-4620

Mailing address

402 Doc Hanson St
New York Mills, MN 56567-4620
Phone (218) 639-2573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39818MNMDOphthalmology Physician
10512543MNMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Like Mother, Like Daughter LLC Assisted Living Facility CurrentSince May 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1528728086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 DOC HANSON ST",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674620",
            "telephone_number": "218-639-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 DOC HANSON ST",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674620",
            "telephone_number": "218-639-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFF",
        "first_name": "JOHANN",
        "name_prefix": "Mrs.",
        "credential": "CNA, OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-26",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MN",
            "license": "10512543",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "39818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.