Organization Active NPI

Jibe Ho Corporation

  • In Home Supportive Care Agency
  • Savage, MN
National Provider Identifier
1710619556
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JIBE HO CORPORATION
Doing business as
Senior Helpers Burnsville
Practice address
3977 County Road 42
Savage, MN 55378-6938
Phone
(952) 892-8403
Fax
(952) 892-8405
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Dr. Stephen Joseph Smela, PHD
Title
President
Phone
(952) 892-8403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3977 County Road 42
Savage, MN 55378-6938

Mailing address

3977 County Road 42
Savage, MN 55378-6938
Phone (952) 892-8403

Other names 1

  • Senior Helpers Burnsville Doing business as

National Provider Directory

National Provider Directory

Locations

1501 Southcross Dr W
Burnsville, MN 55306
Phone (952) 456-1474

3977 W County Road 42
Savage, MN 55378
Phone (952) 892-8403

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1710619556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3977 COUNTY ROAD 42",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553786938",
            "telephone_number": "952-892-8403",
            "fax_number": "952-892-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3977 COUNTY ROAD 42",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553786938",
            "telephone_number": "952-892-8403",
            "fax_number": "952-892-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIBE HO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "SMELA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-892-8403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers Burnsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Helpers Burnsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.