Provider Demographics
NPI:1134480841
Name:MINNESOTA HOME CARE, LLC
Entity Type:Organization
Organization Name:MINNESOTA HOME CARE, LLC
Other - Org Name:CARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-664-9385
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:DUNDAS
Mailing Address - State:MN
Mailing Address - Zip Code:55019-0218
Mailing Address - Country:US
Mailing Address - Phone:507-664-9385
Mailing Address - Fax:
Practice Address - Street 1:2741 120TH ST E
Practice Address - Street 2:
Practice Address - City:DUNDAS
Practice Address - State:MN
Practice Address - Zip Code:55019-4216
Practice Address - Country:US
Practice Address - Phone:507-664-9385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health