Organization Active NPI

People Diversified Health Care Corp

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1730313024
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEOPLE DIVERSIFIED HEALTH CARE CORP
Practice address
1073 Payne Ave Uppr 2
Saint Paul, MN 55130-3884
Phone
(651) 206-7622
Fax
(651) 772-8967
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Xo Vang
Title
President
Phone
(651) 206-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1073 Payne Ave Uppr 2
Saint Paul, MN 55130-3884

Mailing address

1073 Payne Ave Uppr 2
Saint Paul, MN 55130-3884
Phone (651) 206-7622

National Provider Directory

National Provider Directory

Locations

1073 Payne Ave
Uppr 2
Saint Paul, MN 55130
Phone (651) 206-7622

277 University Ave W
Ste 203
Saint Paul, MN 55103
Phone (651) 489-8872

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1730313024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 PAYNE AVE UPPR 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303884",
            "telephone_number": "651-206-7622",
            "fax_number": "651-772-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 PAYNE AVE UPPR 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303884",
            "telephone_number": "651-206-7622",
            "fax_number": "651-772-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE DIVERSIFIED HEALTH CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "XO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-206-7622"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.