Provider Demographics
NPI:1326657156
Name:TWIN CITIES SENIOR CARE, LLC
Entity Type:Organization
Organization Name:TWIN CITIES SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HOUSING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IOANA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-415-3901
Mailing Address - Street 1:14901 WEAVER LAKE RD N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-7538
Mailing Address - Country:US
Mailing Address - Phone:763-415-3900
Mailing Address - Fax:763-415-3909
Practice Address - Street 1:14901 WEAVER LAKE RD N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-7538
Practice Address - Country:US
Practice Address - Phone:763-415-3900
Practice Address - Fax:763-415-3909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)