Shebah Home Health Care

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

SHEBAH HOME HEALTH CARE

Practice address

3224 139TH Ave NW
Andover, MN 55304-7539

Phone

(651) 354-1230

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Tshilanda Mutamba, BSN, RN

Title

Director

Phone

(651) 354-1230

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1780460402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553040010",
            "telephone_number": "651-354-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 139TH AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553047539",
            "telephone_number": "651-354-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBAH HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MUTAMBA",
        "authorized_official_first_name": "TSHILANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-354-1230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Jeptoo Serem, PHARMD.
• Victoria Lynn Seymour, DC
• Nancy Grace Shaddi
• Katie Ann Louise Shaw, LICSW
• Victoria Shear
• Brendan Sheehan, LPCC, LADC
• Leah Sherman, OTR/L
• Holly Shilling, DPT
• Britney Rose Silva
• Hawa Dekontee Sirleaf-Harris

• Home Health Registered Nurse in Andover, MN
• Providers in Andover, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.