Active NPI
TJ Health Care, LLC
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1730552019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TJ HEALTH CARE, LLC
- Practice address
- 5747 W Broadway Ave
Minneapolis, MN 55428-3549 - Phone
- (763) 537-1342
- Fax
- (763) 537-1342
- NPI assigned
- Nov 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sambena Joseph Bassekle
- Title
- Managing Director
- Phone
- (951) 412-0498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5747 W Broadway Ave
Minneapolis, MN 55428-3549
Mailing address
5747 W Broadway
Ctrystal, MN 55428
Phone (763) 537-1342
National Provider Directory
National Provider DirectoryLocations
5747 W Broadway Ave
Minneapolis, MN 55428
Phone (763) 201-9565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1730552019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5747 W BROADWAY",
"city": "CTRYSTAL",
"state": "MN",
"postal_code": "55428",
"telephone_number": "763-537-1342",
"fax_number": "763-537-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5747 W BROADWAY AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554283549",
"telephone_number": "763-537-1342",
"fax_number": "763-537-1342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TJ HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BASSEKLE",
"authorized_official_first_name": "SAMBENA",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "951-412-0498"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.