Provider Demographics
NPI:1386038347
Name:PARTNERS IN CARE, LLC
Entity Type:Organization
Organization Name:PARTNERS IN CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHAD
Authorized Official - Middle Name:K
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-876-8052
Mailing Address - Street 1:2946 CHICAGO AVE #A
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-2101
Mailing Address - Country:US
Mailing Address - Phone:612-876-8052
Mailing Address - Fax:612-886-2387
Practice Address - Street 1:1007 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2503
Practice Address - Country:US
Practice Address - Phone:612-876-8052
Practice Address - Fax:612-886-2387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1679859185Medicaid
MN1386038347Medicaid