Provider Demographics
NPI:1043509581
Name:EMPATHIC HOMECARE LLC
Entity Type:Organization
Organization Name:EMPATHIC HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCE
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAF
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:507-202-9414
Mailing Address - Street 1:521 N BROADWAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-3664
Mailing Address - Country:US
Mailing Address - Phone:507-202-9414
Mailing Address - Fax:
Practice Address - Street 1:521 N BROADWAY
Practice Address - Street 2:SUITE 3
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-3664
Practice Address - Country:US
Practice Address - Phone:507-202-9414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health