Provider Demographics
NPI:1346862828
Name:PINEVIEW HOME HEALTH, LLC
Entity Type:Organization
Organization Name:PINEVIEW HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-419-9384
Mailing Address - Street 1:2700 E 28TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1575
Mailing Address - Country:US
Mailing Address - Phone:612-419-9384
Mailing Address - Fax:612-367-4285
Practice Address - Street 1:2700 E 28TH ST STE 160
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1575
Practice Address - Country:US
Practice Address - Phone:612-419-9384
Practice Address - Fax:612-367-4285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health