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MANASSEH HOME HEALTHCARE LLC
NPI 1184425944
Home Health in Maple Grove, MN

Active since March 19, 2025
11555 BOULDER CT, MAPLE GROVE, MN 55311(612) 351-7100 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Mar 19, 2025 (2 updates tracked since 2025).

About Manasseh Home Healthcare Llc NPPES

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

MANASSEH HOME HEALTHCARE LLC (NPI 1184425944) is a healthcare organization registered as a home health in Maple Grove, Minnesota and active in the NPI registry since March 2025. The organization lists Jewel B Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1184425944
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMANASSEH HOME HEALTHCARE LLC
Location Address11555 BOULDER CTMaple Grove, MN 55311-7521
Mailing Address11555 Boulder CtMaple Grove, MN 55311-7521 · (612) 351-7100
Phone(612) 351-7100
Organization SubpartNo
Authorized OfficialJewel B JohnsonPresident · (612) 351-7100
Enumeration DateMarch 19, 2025
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1184425944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
Also ListedNursing CareTaxonomy 251J00000X
11555 BOULDER CT, Maple Grove, MN 55311
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEWEL JOHNSON
Nurse Practitioner
11555 BOULDER CT
MAPLE GROVE, MN 55311
Hennepin County (612) 351-7100

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 Manasseh Home Healthcare LLC's NPI number?

The NPI number for Manasseh Home Healthcare LLC is 1184425944. It was assigned to this organization in the NPPES registry on March 19, 2025.

Where is Manasseh Home Healthcare LLC located?

Manasseh Home Healthcare LLC is located at 11555 Boulder Ct, Maple Grove, MN 55311. The listed phone number is (612) 351-7100.

What is Manasseh Home Healthcare LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Manasseh Home Healthcare LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.