St. Jude Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST. JUDE HOME HEALTH, LLC

Practice address

6426 109TH PL N
Champlin, MN 55316-3497

Phone

(612) 245-5167

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Dorothy K Ming'AteNPI 1619581196

Title

Owner

Phone

(612) 245-5167

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

St Jude Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Jude Home Health, LLC

  • Home Health Agency
  • Brooklyn Park, MN
  • NPI 1952080731
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorothy Ming'Ate

  • Pharmacist
  • Eagan, MN
  • NPI 1619581196
  NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1639783178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SUMMIT DR N STE 320",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554302181",
            "telephone_number": "612-245-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 109TH PL N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163497",
            "telephone_number": "612-245-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MING'ATE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-245-5167"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID",
            "identifier": "5998041",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solace Home Health and Hospice Care Inc
• Bethany Zahira Solares Silva, DDS
• Soulfultouch LLC
• Andrea M Spandl, MD
• Timothy Ronald Springer, LPC
• Erik Starr, DC
• Laura Patricia Stefanski, RN
• Kaleb Streit, DC
• Spencer Todd Stromback, PHARM D.
• Summit Chiropractic, Inc

• Home Health Agency in Champlin, MN
• Providers in Champlin, 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 Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.