Your Favorite Home Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

612499000027 Issued in MN

Legal business name

YOUR FAVORITE HOME HEALTH CARE SERVICES LLC

Practice address

336 Labore Rd
Apt 213
Little Canada, MN 55117-1155

Phone

(612) 816-2291

NPI assigned

Nov 7, 2012

Last updated

Nov 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaleb Hailu

Title

Owner

Phone

(612) 816-2291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1538413810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LABORE RD",
            "address_2": "APT 213",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171155",
            "telephone_number": "612-816-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 LABORE RD",
            "address_2": "APT 213",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171155",
            "telephone_number": "612-816-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAVORITE HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "HAILU",
        "authorized_official_first_name": "KALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-816-2291"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "612499000027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belaynesh Woldemariam
• Jun Xiao, MD
• Mai T Yang
• Morgan Youngquist, SLP
• Scott Gary Youngstrand, OTR
• Janet Nora Zylinski, M.A. CF-SLP

• Home Health Agency in Little Canada, MN
• Providers in Little Canada, 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 Nov 7, 2012; 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.