Provider Demographics
NPI:1437555216
Name:CARETAKER HEALTH INC
Entity Type:Organization
Organization Name:CARETAKER HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAGALOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-850-4664
Mailing Address - Street 1:12810 30TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-2710
Mailing Address - Country:US
Mailing Address - Phone:612-850-4664
Mailing Address - Fax:763-550-9878
Practice Address - Street 1:12810 30TH AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2710
Practice Address - Country:US
Practice Address - Phone:612-850-4664
Practice Address - Fax:763-550-9878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health