Provider Demographics
NPI:1396835005
Name:DISABLE HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:DISABLE HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONG
Authorized Official - Middle Name:PAO
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-292-8705
Mailing Address - Street 1:1086 RICE STREET SUITE 2
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4922
Mailing Address - Country:US
Mailing Address - Phone:651-292-8705
Mailing Address - Fax:651-488-7364
Practice Address - Street 1:1086 RICE STREET SUITE 2
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-4922
Practice Address - Country:US
Practice Address - Phone:651-292-8705
Practice Address - Fax:651-488-7364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1021218-1-WS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health