Grand Ethnic Minnesota Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRAND ETHNIC MINNESOTA HOME CARE LLC

Practice address

1973 Sloan PL Ste 230
Saint Paul, MN 55117-2084

Phone

(651) 246-1740

NPI assigned

Sep 19, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yar Shay

Title

Owner/Vice President

Phone

(651) 246-1740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1679351860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 SLOAN PL STE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172084",
            "telephone_number": "651-246-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 SLOAN PL STE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172084",
            "telephone_number": "651-246-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ETHNIC MINNESOTA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SHAY",
        "authorized_official_first_name": "YAR",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "651-246-1740"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.