NPIMap

Organization Active NPI

12TH House Healing Services

  • Nursing Care Agency
  • Saint Paul, MN
National Provider Identifier
1871367714
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
12TH HOUSE HEALING SERVICES
Practice address
650 Aguirre St Apt 232
Saint Paul, MN 55130-4430
Phone
(612) 584-0902
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Ms. Tayonna Martia Mays, RN
Title
Ceo
Phone
(612) 584-0902

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

650 Aguirre St Apt 232
Saint Paul, MN 55130-4430

Mailing address

650 Aguirre St Apt 232
Saint Paul, MN 55130-4430
Phone (612) 584-0902

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1871367714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 AGUIRRE ST APT 232",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304430",
            "telephone_number": "612-584-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 AGUIRRE ST APT 232",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304430",
            "telephone_number": "612-584-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12TH HOUSE HEALING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "TAYONNA",
        "authorized_official_middle_name": "MARTIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-584-0902",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 10, 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.