Provider Demographics
NPI:1003980558
Name:HEALTH ESTEEM SERVICES, LLC
Entity Type:Organization
Organization Name:HEALTH ESTEEM SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:NOONAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:763-548-4301
Mailing Address - Street 1:6602 HEMLOCK LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-6125
Mailing Address - Country:US
Mailing Address - Phone:763-425-0352
Mailing Address - Fax:763-425-1656
Practice Address - Street 1:6602 HEMLOCK LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-6125
Practice Address - Country:US
Practice Address - Phone:763-425-0352
Practice Address - Fax:763-425-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5858251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health