Provider Demographics
NPI:1013390541
Name:HEALTHCORPS, INC.
Entity Type:Organization
Organization Name:HEALTHCORPS, INC.
Other - Org Name:RECOVER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:VON ARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-926-9808
Mailing Address - Street 1:5900 GREEN OAK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-4797
Mailing Address - Country:US
Mailing Address - Phone:952-358-3278
Mailing Address - Fax:952-926-4002
Practice Address - Street 1:3666 E COUNTY LINE N APT 133
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-1869
Practice Address - Country:US
Practice Address - Phone:651-653-0848
Practice Address - Fax:651-429-9566
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECOVER HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-01
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN361795251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN361795OtherMN COMPREHENSIVE HOME CARE LICENSE - HFID 21882