Organization Active NPI

Nels Health Care, LLC

  • Registered Nurse
  • St Paul, MN
National Provider Identifier
1992075428
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
355986 Issued in MN
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

Updated by the provider on Mar 17, 2017

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)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X 355986 MN Primary
Licensed Practical NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 164W00000X 355986 MN
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.