Lotus Moon, LLC
Lotus Moon, LLC is a healthcare organization registered as In Home Supportive Care Agency in Minnetonka, MN, holding Type 2 (organization) NPI 1295339166 since 2020. The authorized official on file is Pesey Kuoch, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295339166 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lotus Moon, LLC |
| Practice address | 14667 LAKE STREET EXT, Minnetonka, MN, 55345 |
| Phone | 6125840917 |
| Enumeration date | 2020-11-22 |
| Last updated in NPPES | 2020-11-22 |
Authorized official
| Name | Pesey Kuoch |
|---|---|
| Title | Owner |
| Phone | 6125357292 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 177F00000X | Lodging Provider | Secondary | — | — |
| 251J00000X | Nursing Care Agency | Secondary | — | — |
| 174200000X | Meals Provider | Secondary | — | — |
| 253Z00000X | In Home Supportive Care Agency | Primary | — | — |
Copy-ready billing details
Provider: Lotus Moon, LLC NPI: 1295339166 Taxonomy: 253Z00000X (In Home Supportive Care Agency) Address: 14667 LAKE STREET EXT, Minnetonka, MN, 55345
Verify this record
Cross-check NPI 1295339166 against the authoritative CMS record: view Lotus Moon, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lotus Moon, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-22.