12TH HOUSE HEALING SERVICES NPI 1871367714

NPI Information

NPI: 1871367714
Provider Name: 12TH HOUSE HEALING SERVICES
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
650 AGUIRRE ST APT 232
SAINT PAUL, MN
ZIP 55130
Phone: (612) 584-0902
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12TH HOUSE HEALING SERVICES is a nursing care in Saint Paul, MN. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. 12TH HOUSE HEALING SERVICES NPI is 1871367714. The provider is registered as an organization entity type.

The provider's business location address is:

650 AGUIRRE ST APT 232
SAINT PAUL, MN
ZIP 55130-430
Phone: (612) 584-0902

The provider's authorized official is Tayonna Martia Mays .
The authorized official title is Ceo and has the following contact phone number (612) 584-0902.

The enumeration date for this NPI number is 11/10/2023 and was last updated on 11/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	177F00000X	Lodging		No
2	253Z00000X	In Home Supportive Care		No
3	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
4	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
5	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
6	251J00000X	Nursing Care		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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