Provider Demographics
NPI:1417085986
Name:VOANS HEALTH SERVICES CORPORATION
Entity Type:Organization
Organization Name:VOANS HEALTH SERVICES CORPORATION
Other - Org Name:ANGELS CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY,TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:W
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-941-0305
Mailing Address - Street 1:7530 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3636
Mailing Address - Country:US
Mailing Address - Phone:952-941-0305
Mailing Address - Fax:952-941-0428
Practice Address - Street 1:300 DOW ST N
Practice Address - Street 2:
Practice Address - City:CANNON FALLS
Practice Address - State:MN
Practice Address - Zip Code:55009-1810
Practice Address - Country:US
Practice Address - Phone:507-263-4658
Practice Address - Fax:507-263-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN333615314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN71-22666OtherMEDICA
MN9D51ANOtherBLUE CROSS
MN87757OtherHEALTH PARTNERS
MNNH0317OtherUCARE
MN71-22666OtherMEDICA