Provider Demographics
NPI:1225294358
Name:WATCHFUL CAREGIVERS, INC
Entity Type:Organization
Organization Name:WATCHFUL CAREGIVERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WOKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROM-BELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-535-4326
Mailing Address - Street 1:7710 BROOKLYN BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2966
Mailing Address - Country:US
Mailing Address - Phone:763-535-4326
Mailing Address - Fax:763-537-9352
Practice Address - Street 1:7710 BROOKLYN BLVD STE 204
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2966
Practice Address - Country:US
Practice Address - Phone:763-535-4326
Practice Address - Fax:763-537-9352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2817647-3251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health