Active NPI
My Home Health Care, Inc.
- Home Health Agency
- White Bear Lake, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 234842000
- Legal business name
- MY HOME HEALTH CARE, INC.
- Practice address
- 3629 White Bear Ave N
White Bear Lake, MN 55110-4745 - Phone
- (651) 488-3126
- Fax
- (651) 487-7637
- NPI assigned
- May 2, 2007
- Last updated
- Oct 28, 2024
- 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
- Mai Yer Soung
- Title
- Ceo
- Phone
- (651) 274-2538
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 234842000 | MN | Primary |
Addresses
Primary practice location
3629 White Bear Ave N
White Bear Lake, MN 55110-4745
Mailing address
3629 White Bear Ave N
White Bear Lake, MN 55110-4745
Phone (651) 488-3126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A234842000 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
569 Dale St N
Ste 100
Saint Paul, MN 55103
Phone (651) 488-3126
3629 White Bear Ave N
White Bear Lake, MN 55110
Phone (651) 488-3126
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Personal Care Attendant
- Loretto, MN
- NPI 1992918387
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1366008336
-
- Home Health Registered Nurse
- Saint Paul, MN
- NPI 1720369515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1669693016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 WHITE BEAR AVE N",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104745",
"telephone_number": "651-488-3126",
"fax_number": "651-487-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3629 WHITE BEAR AVE N",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104745",
"telephone_number": "651-488-3126",
"fax_number": "651-487-7637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "SOUNG",
"authorized_official_first_name": "MAI YER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-274-2538"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "234842000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A234842000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 28, 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.