City of Lakes Home Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

CITY OF LAKES HOME CARE LLC

Doing business as

City of Lakes Home Care LLC

Practice address

393 N Dunlap St Suite 450H
Saint Paul, MN 55104-4238

Phone

(573) 355-0177

Fax

(651) 528-8346

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Hodan Ali Salat

Title

Authorized Official

Phone

(651) 398-5667

Specialties & licenses 2

Addresses

Other names 1

• City of Lakes Home Care LLC Doing business as

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1598300048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 N DUNLAP ST SUITE 450H",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044238",
            "telephone_number": "573-355-0177",
            "fax_number": "651-528-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 N DUNLAP ST SUITE 450H",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044238",
            "telephone_number": "573-355-0177",
            "fax_number": "651-528-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAKES HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SALAT",
        "authorized_official_first_name": "HODAN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "651-398-5667"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Lakes Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clare Elizabeth Cicconi, PA-C
• Heather R Cichanowski, MD
• Melissa Pearl Cimfl
• Gina M Cincinelli, PA
• Circle Care LLC
• City of St Paul
• Melissa Kay Claar, CNP
• Dawn Claflin
• Shannon Marie Claflin
• Kelli Jo Clancy I, LICSW

• Nursing Care Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.