Active NPI
Nels Health Care, LLC
- Registered Nurse
- St Paul, MN
National Provider Identifier
1992075428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 355986
- Legal business name
- NELS HEALTH CARE, LLC
- Practice address
- 2285 Stewart Ave
Suite 1107
St Paul, MN 55116 - Phone
- (651) 500-7788
- NPI assigned
- Dec 30, 2011
- Reactivated
- Mar 10, 2017
- 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
- Mr. Nyonunfon Ndikintum
- Title
- Ceo
- Phone
- (404) 917-3874
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 355986 | MN | Primary |
| Licensed Practical Nurse | 164W00000X | 355986 | MN | |
| Home Health Aide | 374U00000X | 355986 | MN |
Addresses
Primary practice location
2285 Stewart Ave
Suite 1107
St Paul, MN 55116
Mailing address
3501 Section Rd #410
Cincinnati, OH 45237
Phone (651) 500-7788
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489708800000",
"number": "1992075428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 SECTION RD #410",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45237",
"telephone_number": "651-500-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 STEWART AVE",
"address_2": "SUITE 1107",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55116",
"telephone_number": "651-500-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NELS HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-30",
"last_updated": "2017-03-17",
"deactivation_date": "2012-12-07",
"reactivation_date": "2017-03-10",
"status": "A",
"authorized_official_last_name": "NDIKINTUM",
"authorized_official_first_name": "NYONUNFON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-917-3874",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "MN",
"license": "355986",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "MN",
"license": "355986",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "MN",
"license": "355986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.