Sip Brothers Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SIP BROTHERS INC.

Doing business as

Champa Home Care

Practice address

4618 85TH Ave N
Brooklyn Park, MN 55443-1957

Phone

(612) 245-9177

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By 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

Calvin Siphapaserth

Title

Owner

Phone

(612) 245-9177

Specialties & licenses 1

Addresses

Other names 1

• Champa Home Care Doing business as

Locations

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1568013191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 85TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431957",
            "telephone_number": "612-245-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 85TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431957",
            "telephone_number": "612-245-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIP BROTHERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "SIPHAPASERTH",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-245-9177"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champa Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph J Sicora, M.D.
• Jess LM Siers, LAC
• David Ato Simmons
• Susan Kay Simmons, PHARMD
• Jessica Sindt, PA C
• Amy L Skroch, APRN, CNP
• Skyblu Residential Services (Astral Home Care)
• SMC Ahston Inc
• SMC Ahston Inc
• SMC Care, Inc.

• Adult Day Care Clinic/Center in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.