Organization Active NPI

Kay Group Home LLC

  • In Home Supportive Care Agency
  • Saint Paul, MN
National Provider Identifier
1629436738
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KAY GROUP HOME LLC
Practice address
1520 Concordia Ave
Saint Paul, MN 55104-5310
Phone
(612) 545-7533
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Muna Khalif Sheikhabu
Title
Owner/Manager/Biller
Phone
(612) 545-7533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1520 Concordia Ave
Saint Paul, MN 55104-5310

Mailing address

1520 Concordia Ave
Saint Paul, MN 55104-5310
Phone (612) 545-7533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1629436738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 CONCORDIA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045310",
            "telephone_number": "612-545-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 CONCORDIA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045310",
            "telephone_number": "612-545-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "SHEIKHABU",
        "authorized_official_first_name": "MUNA",
        "authorized_official_middle_name": "KHALIF",
        "authorized_official_title_or_position": "OWNER/MANAGER/BILLER",
        "authorized_official_telephone_number": "612-545-7533"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.