Healthcare Provider Details

I. General information

NPI: 1679389761
Provider Name (Legal Business Name): MONKWEH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11140 ZION ST NW
COON RAPIDS MN
55433-3523
US

IV. Provider business mailing address

11140 ZION ST NW
COON RAPIDS MN
55433-3523
US

V. Phone/Fax

Practice location:
  • Phone: 612-636-4745
  • Fax:
Mailing address:
  • Phone: 612-636-4745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SIANEE COLE
Title or Position: OWNER
Credential:
Phone: 612-636-4745