AMY JOHNSON RESIDENCE
NPI 1043634074
Home Health in Saint Paul, MN

Active since February 11, 2014CLIA 24D1046875 · Waiver
89 VIRGINIA ST, SAINT PAUL, MN 55102(651) 224-3363(651) 290-2600 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Johnson Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY JOHNSON RESIDENCE (NPI 1043634074) is a healthcare organization registered as a home health in Saint Paul, Minnesota and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Donetta Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1043634074
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameADONAI CARE HOMES CORPORATION
Location Address89 VIRGINIA STSaint Paul, MN 55102-2113
Mailing Address89 Virginia StSaint Paul, MN 55102-2113 · (651) 224-3363 · Fax (651) 290-2600
Fax(651) 290-2600
Organization SubpartNo
Authorized OfficialDonetta JohnsonPresident · (651) 224-3363
Enumeration DateFebruary 11, 2014
NPI 1043634074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in MN · 362443
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

89 VIRGINIA ST, Saint Paul, MN 55102

Other Names 1

Doing Business AsAmy Johnson Residence

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1046875

Amy Johnson Residence · Saint Paul, MN
Active · expires Oct 19, 2027
CLIA Number24D1046875
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorDonetta F. Johnson
Laboratory Phone(651) 227-0574
Laboratory LocationAmy Johnson Residence89 Virginia, Saint Paul, MN 55102
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adonai Care Homes Corporation's NPI number?

The NPI number for Adonai Care Homes Corporation is 1043634074. It was assigned to this organization in the NPPES registry on February 11, 2014. The provider is doing business as Amy Johnson Residence.

Where is Adonai Care Homes Corporation located?

Adonai Care Homes Corporation is located at 89 Virginia St, Saint Paul, MN 55102. The listed phone number is (651) 224-3363.

What is Adonai Care Homes Corporation's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Adonai Care Homes Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1046875) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adonai Care Homes Corporation was last updated on February 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.