Organization Active NPI

Lady Tees Home Care SVCS Inc

  • Home Health Agency
  • Brooklyn Center, MN
National Provider Identifier
1568635159
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
338321 Issued in MN
Legal business name
LADY TEES HOME CARE SVCS INC
Practice address
4727 Wingard Lane
Brooklyn Center, MN 55429-1230
Phone
(763) 438-0009
Fax
(763) 515-0431
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mrs. Tenneh Lebbi Johnson, LPN
Title
Ceo
Phone
(763) 438-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 338321 MN Primary

Addresses

Primary practice location

4727 Wingard Lane
Brooklyn Center, MN 55429-1230

Mailing address

4727 Wingard Lane
Brooklyn Center, MN 55429-1230
Phone (763) 438-0009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1568635159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 WINGARD LANE",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291230",
            "telephone_number": "763-438-0009",
            "fax_number": "763-515-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 WINGARD LANE",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291230",
            "telephone_number": "763-438-0009",
            "fax_number": "763-515-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY TEES HOME CARE SVCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TENNEH",
        "authorized_official_middle_name": "LEBBI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-438-0009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "338321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.