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THEUTHMANY SUPHANTAVONG
NPI 1790977999
Technician - Personal Care Attendant in Saint Paul, MN

Active since August 13, 2007
23 EMPIRE DR, SUITE 123, SAINT PAUL, MN 55103(651) 222-2787(651) 224-1057 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Theuthmany Suphantavong NPPES

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

THEUTHMANY SUPHANTAVONG (NPI 1790977999) is an individual personal care attendant in Saint Paul, Minnesota and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1790977999
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameTHEUTHMANY SUPHANTAVONG
Location Address23 EMPIRE DR, SUITE 123Saint Paul, MN 55103-1856
Mailing Address500 2nd St SeAustin, MN 55912-3528 · (507) 440-9419 · Fax (651) 224-1057
Phone(651) 222-2787
Fax(651) 224-1057
Sole ProprietorNo
Enumeration DateAugust 13, 2007
✔ NPI 1790977999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
23 EMPIRE DR, Saint Paul, MN 55103
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Other Providers at the Same Location NPPES 20

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

KHOUNKHAM KEOVILAJ
Technician (Personal Care Attendant)
23 EMPIRE DR, SUITE 123
SAINT PAUL, MN 55103
Ramsey County (651) 222-2787
BOUNMY TONSAY
Technician (Personal Care Attendant)
23 EMPIRE DR, SUITE 123
SAINT PAUL, MN 55103
Ramsey County (651) 222-2787
SAMANE KHAMISENG
Technician (Personal Care Attendant)
23 EMPIRE DR, SUITE 123
SAINT PAUL, MN 55103
Ramsey County (651) 222-2787
RAINBOW HEALTH KARE, INC
Home Health
23 EMPIRE DR, SUITE 125
SAINT PAUL, MN 55103
Ramsey County (651) 292-9900
DAM SOUKSAWAN
Technician (Personal Care Attendant)
23 EMPIRE DR, SUITE 123
SAINT PAUL, MN 55103
Ramsey County (651) 222-2787
MINNESOTA NATIONAL HEALTH KARE
Home Health
23 EMPIRE DR, SUITE 123
SAINT PAUL, MN 55103
Ramsey County (651) 222-2787
LILY MAY YANG
Technician (Personal Care Attendant)
23 EMPIRE DR, SUITE 123
SAINT PAUL, MN 55103
Ramsey County (651) 222-2787
PHUA'S COUNSELING SERVICES, PLLC
Social Worker (Clinical)
23 EMPIRE DR, SUITE 105
SAINT PAUL, MN 55103
Ramsey County (651) 344-4931

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 Theuthmany Suphantavong's NPI number?

The NPI number for Theuthmany Suphantavong is 1790977999. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Theuthmany Suphantavong located?

Theuthmany Suphantavong practices at 23 Empire Dr Suite 123, Saint Paul, MN 55103. The listed phone number is (651) 222-2787.

What is Theuthmany Suphantavong's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Theuthmany Suphantavong was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.