Provider Demographics
NPI:1083297899
Name:SINA HOME CARE, LLC
Entity Type:Organization
Organization Name:SINA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:MOREAU
Authorized Official - Last Name:MONTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-965-4843
Mailing Address - Street 1:9641 GARFIELD AVE S UNIT 20753
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-4141
Mailing Address - Country:US
Mailing Address - Phone:612-965-4843
Mailing Address - Fax:
Practice Address - Street 1:8145 STEVENS AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-1237
Practice Address - Country:US
Practice Address - Phone:612-965-4843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty