IndividualActive
Khom Sysavath
NPI 1316100118 · Personal Care Attendant · Saint Paul, MN
Khom Sysavath is a Personal Care Attendant provider in Saint Paul, MN (NPI 1316100118).
Provider details
- NPI number
- 1316100118
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23 Empire Drive
Suite 123
Saint Paul, MN 55103
Phone: (651) 222-2787
Street-level locationGet directions
Mailing address
911 Johnson Avenue
Worthington, MN 56187
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2008-07-02
Frequently asked questions
- What is Khom Sysavath's NPI number?
- Khom Sysavath's National Provider Identifier (NPI) is 1316100118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khom Sysavath's specialty?
- Khom Sysavath is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Khom Sysavath located?
- Khom Sysavath's practice location on file with NPPES is 23 Empire Drive, Saint Paul, MN 55103.
- What is Khom Sysavath's phone number?
- The practice phone number listed in the NPPES registry for Khom Sysavath is (651) 222-2787.
- Is Khom Sysavath's NPI active?
- Yes — Khom Sysavath's NPI (1316100118) is active in the NPPES registry as of the last update on 2008-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.