Organization Active NPI

Jean's Care, LLC

  • Clinic/Center
  • Plymouth, MN
National Provider Identifier
1689548695
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JEAN'S CARE, LLC
Practice address
10000 Hwy 55
Plymouth, MN 55441-6300
Phone
(612) 490-3171
NPI assigned
Oct 2, 2025
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Aisha Kenneh
Title
Owner
Phone
(612) 490-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10000 Hwy 55
Plymouth, MN 55441-6300

Mailing address

10000 Hwy 55
Plymouth, MN 55441-6300
Phone (612) 490-3171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1689548695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 HWY 55",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416300",
            "telephone_number": "612-490-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 HWY 55",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416300",
            "telephone_number": "612-490-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN'S CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "KENNEH",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-490-3171"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.