Provider Demographics
NPI:1346342219
Name:CARE 2000 HOMEHEALTH CARE SERVICES
Entity Type:Organization
Organization Name:CARE 2000 HOMEHEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:WASSMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-886-4414
Mailing Address - Street 1:8200 HUMBOLDT AVE S STE 303
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1453
Mailing Address - Country:US
Mailing Address - Phone:952-886-4414
Mailing Address - Fax:952-886-8960
Practice Address - Street 1:2 E 2ND AVE STE 201
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-7102
Practice Address - Country:US
Practice Address - Phone:620-664-6465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA078010251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000234OtherBLUE CROSS BLUE SHIELD
KS000234OtherBLUE CROSS BLUE SHIELD