Provider Demographics
NPI:1225659428
Name:CAREPOINT HOME HEALTH LLC
Entity Type:Organization
Organization Name:CAREPOINT HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MISS
Authorized Official - First Name:VERLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-998-2400
Mailing Address - Street 1:8170 OLD CARRIAGE CT STE 200
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-3169
Mailing Address - Country:US
Mailing Address - Phone:651-998-2400
Mailing Address - Fax:866-359-1633
Practice Address - Street 1:14560 WILDS PKWY NW
Practice Address - Street 2:
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-3219
Practice Address - Country:US
Practice Address - Phone:651-998-2400
Practice Address - Fax:866-359-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA443477000OtherMINNESOTA DEPARTMENT OF HUMAN SERVICES
MNA815137000OtherMINNESOTA DEPARTMENT OF HUMAN SERVICES