Organization Active NPI

My Home Health Care, Inc.

  • Home Health Agency
  • White Bear Lake, MN
National Provider Identifier
1669693016
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
234842000 Issued in MN
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Mai Yer SoungNPI 1992918387
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A234842000MedicaidMN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.