Organization Active NPI

Home Hospice, Inc

  • Community Based Hospice Care Agency
  • North Saint Paul, MN
National Provider Identifier
1649029935
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOME HOSPICE, INC
Practice address
2591 13TH Ave E Apt C
North Saint Paul, MN 55109-2448
Phone
(651) 350-8855
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Pandora Qubsiab Vang
Title
President
Phone
(651) 350-8855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2591 13TH Ave E Apt C
North Saint Paul, MN 55109-2448

Mailing address

2591 13TH Ave E Apt C
North Saint Paul, MN 55109-2448
Phone (651) 350-8855

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1649029935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 13TH AVE E APT C",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551092448",
            "telephone_number": "651-350-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 13TH AVE E APT C",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551092448",
            "telephone_number": "651-350-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "PANDORA",
        "authorized_official_middle_name": "QUBSIAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-350-8855"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.