BRIAN PHILLIP ST JOHN (NPI# 1922628700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922628700 |
| Entity Type | Individual |
| Full Name | BRIAN PHILLIP ST JOHN |
| Practice Address |
100 Rev Dr Matin Luther Kingjr Blvd Suite 180 Saint Paul MN 55155-0001 |
| Mailing Address |
P.o. Box 17370 Lot 3415 St Paul MN 55117 |
| Practice Telephone | 4242853890 |
| Mailing Telephone | 4242853890 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | DHS-6189Z | MN | Agencies |
| N | 372600000X | Adult Companion | DHS-6189Z | MN | Nursing Service Related Providers |
| N | 385H00000X | Respite Care | DHS-6189Z | MN | Respite Care Facility |
| Y | 253Z00000X | In Home Supportive Care | DHS-6189Z | MN | Agencies |
| Street Address |
100 REV DR MATIN LUTHER KINGJR BLVD SUITE 180 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55155-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821010497 | Maxillofacial and Oral Surgery Pa | Oral & Maxillofacial Surgery | 7-174 Moos Tower, 515 Delaware Street Se, Minneapolis, MN 55155-0329 | 2006-07-24 |
| 1992945273 | Brandon P Sis | Pharmacist | 50 Sherburne Ave, Suite 112, Saint Paul, MN 55155-1402 | 2009-02-26 |
| 1851789663 | Minnesota Department of Health | Public Health or Welfare | 601 Robert St N, Saint Paul, MN 55155-2538 | 2014-12-31 |
| 1285960302 | Ruth Lynfield | Pediatrics | 625 Robert St N, Saint Paul, MN 55155-2538 | 2009-10-23 |
| 1285730838 | Community Addiction Recovery Enterprise | Substance Abuse Rehabilitation Facility | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2006-09-14 |
| 1679831705 | Mindy Lee Fleming | Social Worker | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2012-04-26 |
| 1164737326 | Community Addiction Recovery Enterprise- | Clinic/Center | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2010-08-12 |
| 1588742563 | Alan Quenton Radke | Psychiatry & Neurology | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1114528973 | Davis Jackson Medical Assist Tean Lee | Chore Provider | 6449 Ipth Dr., Saint Paul, MN 55725-1130 | 2020-11-06 |
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1770184129 | Nurses On The Go | Day Training/Habilitation Specialist | 6449 Rath Drive, Saint Paul, MN 55125-1130 | 2020-11-03 |
| 1881295491 | Wanda Baker | Marriage & Family Therapist | 653 Galtier St Apt 109, Saint Paul, MN 55103-1793 | 2020-11-02 |
| 1841890779 | Zepto Life Technology LLC. | Technician, Pathology | 1000 Westgate Dr # 2000, Saint Paul, MN 55114-8612 | 2020-10-29 |
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1447859467 | Amdemichael Retta | Massage Therapist | 1260 Larpenteur Ave W Apt 320, Saint Paul, MN 55113-6324 | 2020-10-21 |
| 1164020665 | Seh Morris Brown | In Home Supportive Care | 7655 Woodlawn Dr Apt 305, Saint Paul, MN 55112-4065 | 2020-10-15 |
| 1831797588 | Zarr Blejay Yarpah | In Home Supportive Care | 2508 County Road I Apt 105, Saint Paul, MN 55112-6242 | 2020-10-14 |
| Find all providers in SAINT PAUL | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020665 | Seh Morris Brown | In Home Supportive Care | 7655 Woodlawn Dr Apt 305, Saint Paul, MN 55112-4065 | 2020-10-15 |
| 1831797588 | Zarr Blejay Yarpah | In Home Supportive Care | 2508 County Road I Apt 105, Saint Paul, MN 55112-6242 | 2020-10-14 |
| 1760007827 | Bhim Raj Adhikari | In Home Supportive Care | 220 Robert St S Ste 100, Saint Paul, MN 55107-1677 | 2020-06-14 |
| 1497392971 | Navell Annette Townley | In Home Supportive Care | 4106 Skylark Ln, Saint Paul, MN 55122-1727 | 2019-12-04 |
| 1639713084 | Sympathy Home Health Care Inc | In Home Supportive Care | 400 Spring St Apt 306, Saint Paul, MN 55102-4450 | 2019-10-29 |
| 1023676145 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright St, Saint Paul, MN 55130-3820 | 2019-06-04 |
| 1881251809 | Perfection Health Care Services, Inc | In Home Supportive Care | 1225 Cook Ave E, Saint Paul, MN 55106-3442 | 2019-05-24 |
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1255812442 | Simplicity Home Care LLC | In Home Supportive Care | 1327 County Road D Cir E, Saint Paul, MN 55109-6005 | 2018-08-24 |
| 1235615139 | Quality Home Healthcare LLC | In Home Supportive Care | 2230 Vivian Ln, Saint Paul, MN 55119-5653 | 2018-07-13 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55155 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.