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THERESAS HOME LLC
NPI 1457022501
Community Based Residential Treatment Facility, Mental Illness in South Saint Paul, MN

Active since September 27, 2021
224 2ND AVE S, SOUTH SAINT PAUL, MN 55075(763) 291-4288 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Theresas Home Llc NPPES

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

THERESAS HOME LLC (NPI 1457022501) is a healthcare organization registered as a community based residential treatment facility, mental illness in South Saint Paul, Minnesota and active in the NPI registry since September 2021. The organization lists Vivian Ngongang Ogunyemi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457022501
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTHERESAS HOME LLC
Location Address224 2ND AVE SSouth Saint Paul, MN 55075-2346
Mailing Address9985 Austin St NeCircle Pines, MN 55014-2412 · (763) 291-4288
Phone(763) 291-4288
Organization SubpartNo
Authorized OfficialVivian Ngongang OgunyemiCeo · (763) 291-4288
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
✔ NPI 1457022501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
224 2ND AVE S, South Saint Paul, MN 55075
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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 Theresas Home LLC's NPI number?

The NPI number for Theresas Home LLC is 1457022501. It was assigned to this organization in the NPPES registry on September 27, 2021.

Where is Theresas Home LLC located?

Theresas Home LLC is located at 224 2nd Ave S, South Saint Paul, MN 55075. The listed phone number is (763) 291-4288.

What is Theresas Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Theresas Home LLC was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.