Provider Demographics
NPI:1275566036
Name:NEW DIMENSIONS HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:NEW DIMENSIONS HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-739-5856
Mailing Address - Street 1:312 N TOWER RD
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-1015
Mailing Address - Country:US
Mailing Address - Phone:218-739-5856
Mailing Address - Fax:218-736-6330
Practice Address - Street 1:312 N TOWER RD
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537
Practice Address - Country:US
Practice Address - Phone:218-739-5856
Practice Address - Fax:218-736-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN24D0906004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN041102009OtherPRIMEWEST
MN068045100Medicaid
MN5900068OtherMEDICA
MN125366OtherU CARE
MN8K23NEOtherBLUE PLUS