ST. JUDE HOME HEALTH, LLC
NPI 1952080731
Home Health in Brooklyn Park, MN

Active since July 17, 2023CLIA 24D2209558 · Waiver
4506 IMPATIENS AVE N, BROOKLYN PARK, MN 55443(612) 245-5167(952) 314-9282 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 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 1952080731) is a healthcare organization registered as a home health in Brooklyn Park, Minnesota and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Dorothy Ming'ate, Assisted Living Director, as its authorized official.

NPPES Registry Identity

NPI1952080731
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameST. JUDE HOME HEALTH, LLC
Location Address4506 IMPATIENS AVE NBrooklyn Park, MN 55443-1552
Mailing Address6160 Summit Dr N Ste 320Minneapolis, MN 55430-2181 · (612) 460-0018
Fax(952) 314-9282
Organization SubpartNo
Authorized OfficialDorothy Ming'ateAssisted Living Director · (612) 245-5167
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
NPI 1952080731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.

Also ListedAssisted Living FacilityTaxonomy 310400000X
4506 IMPATIENS AVE N, Brooklyn Park, MN 55443

CLIA Laboratory Certificates CMS CLIA

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 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.

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 1952080731. It was assigned to this organization in the NPPES registry on July 17, 2023.

Where is St. Jude Home Health, LLC located?

St. Jude Home Health, LLC is located at 4506 Impatiens Ave N, Brooklyn Park, MN 55443. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2209558) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Jude Home Health, LLC was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.