Provider Demographics
NPI:1366626905
Name:UTMOST CARE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:UTMOST CARE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYIWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-486-1491
Mailing Address - Street 1:8200 HUMBOLDT AVE S STE 101
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1433
Mailing Address - Country:US
Mailing Address - Phone:952-486-1491
Mailing Address - Fax:952-681-2732
Practice Address - Street 1:8200 HUMBOLDT AVE S STE 101
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-1433
Practice Address - Country:US
Practice Address - Phone:952-486-1491
Practice Address - Fax:952-681-2732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN338115251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN248115Medicare Oscar/Certification