Organization Active NPI

Mahadd Health Solutions LLC

Doing business as Mahadd Home Health Care

  • Home Health Agency
  • White Bear Lake, MN
National Provider Identifier
1669003885
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 13, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CareCCN 248163 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
May 3, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2286942Mahadd Health Solutions LLC1895 County Rd E Suite 210, White Bear Lake, MN 55110Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Paulette Renee Duncan Individual Corporate OfficerVP Operations Oct 1, 2023 100%
Operational/Managerial ControlAdministrator of Agency Aug 1, 2023 100%
Dieudonne Che Ndenge Individual 5% Or Greater Direct Ownership InterestOwner/Ceo May 10, 2019 100%
Mizpah CHI Individual OtherBoard Member 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

Verify at the official NPI Registry.