JESTINO K KABBA
NPI 1487993432
Technician - Attendant Care Provider in Brooklyn Center, MN
- Individual
- Male
- Technician
- Attendant Care Provider
About JESTINO KABBA
This page provides the complete NPI Profile along with additional information for Jestino Kabba, a provider established in Brooklyn Center, Minnesota with a medical specialization in Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1487993432 assigned on February 2013. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1487993432 Verify this NPI
- Provider Name
- JESTINO K KABBA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3300 BASS LAKE RD STE 211 BROOKLYN CENTER, MN 55429
- Location Phone
- (612) 225-8107
- Mailing Address
- 3300 BASS LAKE RD STE 211 BROOKLYN CENTER, MN 55429
- Mailing Phone
- (612) 225-8107
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-12-2013
- Last Update Date
- 02-12-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician Attendant Care Provider
- Taxonomy Code
- 3747A0650X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487993432, enumerated as an "individual" on February 12, 2013.
The provider is located at 3300 BASS LAKE RD STE 211 BROOKLYN CENTER, MN 55429 and the phone number is (612) 225-8107.
Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.