JESTINO K KABBA
NPI 1487993432
Technician - Attendant Care Provider in Brooklyn Center, MN

Active since February 12, 2013
3300 BASS LAKE RD STE 211, BROOKLYN CENTER, MN 55429(612) 225-8107 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.