CMS-1500 Box 24J / 33a • NPI
1871367714
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251J00000X
Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)
Box 32 Service Location & ZIP+4
650 AGUIRRE ST APT 232, SAINT PAUL, MN, 55130-4430
✓ 9-Digit EDI 837 ZIP+4 (55130-4430)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1871367714 (12TH HOUSE HEALING SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1871367714 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 12TH HOUSE HEALING SERVICES |
| Plain-English Specialty | Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: 251J00000X (Nursing Care) |
| Certifying / Licensing Body | CMS Five-Star Quality Rating System / State Department of Health |
| Practice Location Address | 650 AGUIRRE ST APT 232, SAINT PAUL, MN, 55130-4430 |
| Practice Telephone / Fax | Tel: (612) 584-0902 |
| Administrative Mailing Address | 650 AGUIRRE ST APT 232, SAINT PAUL, MN, 55130-4430 |
| Enumeration & Last Sync | Enumerated: 2023-11-10 | CMS Record Updated: 2023-11-10 |
| Authorized Official | TAYONNA MAYS (CEO) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (251J00000X)
What Does Taxonomy Code 251J00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251J00000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (12TH HOUSE HEALING SERVICES)
Typical CPT / Diagnostic Procedures:- 24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
- Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation
- Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
177F00000X — LodgingPlain English: Licensed & Credentialed Lodging | State: N/A | License: Verified | Primary: Secondary |
253Z00000X — In Home Supportive CarePlain English: Licensed & Credentialed In Home Supportive Care | State: N/A | License: Verified | Primary: Secondary |
3104A0625X — Assisted Living Facility, Assisted Living, Mental IllnessPlain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness | State: N/A | License: Verified | Primary: Secondary |
3104A0630X — Assisted Living Facility, Assisted Living, Behavioral DisturbancesPlain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Behavioral Disturbances | State: N/A | License: Verified | Primary: Secondary |
320800000X — Community Based Residential Treatment Facility, Mental IllnessPlain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness | State: N/A | License: Verified | Primary: Secondary |
251J00000X — Nursing CarePlain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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