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ST. JUDE HOME HEALTH, LLC
NPI 1639783178
Home Health in Champlin, MN

Active since September 02, 2020CLIA Certified · 3 labs
6426 109TH PL N, CHAMPLIN, MN 55316(612) 245-5167 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About St. Jude Home Health, Llc NPPES

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

ST. JUDE HOME HEALTH, LLC (NPI 1639783178) is a healthcare organization registered as a home health in Champlin, Minnesota and active in the NPI registry since September 2020. The organization holds 3 active CLIA laboratory certificates and lists Dorothy K Ming'ate, Owner, as its authorized official.

NPPES Registry Identity

NPI1639783178
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameST. JUDE HOME HEALTH, LLC
Location Address6426 109TH PL NChamplin, MN 55316-3497
Mailing Address6160 Summit Dr N Ste 320Minneapolis, MN 55430-2181 · (612) 245-5167
Phone(612) 245-5167
Organization SubpartNo
Authorized OfficialDorothy K Ming'ateOwner · (612) 245-5167
Enumeration DateSeptember 2, 2020
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1639783178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6426 109TH PL N, Champlin, MN 55316
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Other Identifiers 1

Other5998041MN · State Tax Id

CLIA Laboratory Certificates CMS CLIA 3

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 24D2228370

St Jude Home Health, LLC · Brooklyn Park, MN
Active · expires Jun 24, 2027
CLIA Number24D2228370
Laboratory TypeHome Health Agency
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorDorothy K. Mingate
Laboratory Phone(612) 245-5167
Laboratory LocationSt Jude Home Health, LLC4506 Impatiens Ave North, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2209558

St Jude Home Health, LLC · Champlin, MN
Active · expires Jan 13, 2027
CLIA Number24D2209558
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorDorothy K. Mingate
Laboratory Phone(612) 245-5167
Laboratory LocationSt Jude Home Health, LLC6426 109th Place N, Champlin, MN 55316
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2316245

St Jude Home Health, LLC · Champlin, MN
Active · expires Dec 30, 2026
CLIA Number24D2316245
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorDorothy K. Mingate
Laboratory Phone(612) 245-5167
Laboratory LocationSt Jude Home Health, LLC11261 West River Rd, Champlin, MN 55316
CLIA data matches this NPI record on: Name Phone
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 St. Jude Home Health, LLC's NPI number?

The NPI number for St. Jude Home Health, LLC is 1639783178. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is St. Jude Home Health, LLC located?

St. Jude Home Health, LLC is located at 6426 109th Pl N, Champlin, MN 55316. The listed phone number is (612) 245-5167.

What is St. Jude Home Health, LLC's specialty?

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

Does St. Jude Home Health, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St. Jude Home Health, LLC was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.