Organization Active NPI

TJ Health Care, LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1730552019
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.