Provider Demographics
NPI:1164169280
Name:SELFLESS SENIOR CARE
Entity Type:Organization
Organization Name:SELFLESS SENIOR CARE
Other - Org Name:HOME INSTEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDLUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-290-1209
Mailing Address - Street 1:406 GREAT OAK DR
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-2504
Mailing Address - Country:US
Mailing Address - Phone:320-258-3055
Mailing Address - Fax:320-656-5229
Practice Address - Street 1:406 GREAT OAK DR
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-2504
Practice Address - Country:US
Practice Address - Phone:320-258-3055
Practice Address - Fax:320-656-5229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health