Active NPI
Mahadd Health Solutions LLC
Doing business as Mahadd Home Health Care
- Home Health Agency
- White Bear Lake, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MAHADD HEALTH SOLUTIONS LLC
- Doing business as
- Mahadd Home Health Care
- Practice address
- 1895 County Road E E Ste 210
White Bear Lake, MN 55110-4690 - Phone
- (651) 797-4745
- Fax
- (651) 348-8716
- NPI assigned
- Jan 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paulette Duncan, RN
- Title
- VP Operations
- Phone
- (763) 439-9963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1895 County Road E E Ste 210
White Bear Lake, MN 55110-4690
Mailing address
1895 County Road E E Ste 210
White Bear Lake, MN 55110-4690
Phone (612) 913-8414
Other names 1
- Mahadd Home Health Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250214000380 | MN | Part A Provider - Home Health Agency | 6002346475 | Practice locations: White Bear Lake, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669003885. Details of each certification follow.
Home health agency certification: CCN 248163
- Legal name
- MAHADD HEALTH SOLUTIONS LLC
- Doing business as
- MAHADD HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 3, 2024
- Last certification
- Apr 30, 2024
- Organization structure
- LLC
- Enrollment address
- 1895 County Road E E
Ste 210
White Bear Lake, MN 55110-4690
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Mahadd Home Health Care
- Overall star rating
- Ownership
- -
- Certified
- May 3, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2286942 | Mahadd Health Solutions LLC | Certificate of waiver | Aug 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
1895 County Road E E
Ste 210
White Bear Lake, MN 55110
Phone (651) 797-4745
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Paulette Renee Duncan | Corporate Officer | Oct 1, 2023 | 100% |
| Operational/Managerial Control | Aug 1, 2023 | 100% | |
| Dieudonne Che Ndenge | 5% Or Greater Direct Ownership Interest | May 10, 2019 | 100% |
| Mizpah CHI | Other | Aug 1, 2023 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1669003885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1895 COUNTY ROAD E E STE 210",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104690",
"telephone_number": "612-913-8414",
"fax_number": "651-348-8716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 COUNTY ROAD E E STE 210",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104690",
"telephone_number": "651-797-4745",
"fax_number": "651-348-8716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHADD HEALTH SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-27",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "PAULETTE",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "763-439-9963",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mahadd Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.