Provider Demographics
NPI:1437728342
Name:DEENDE LLC
Entity Type:Organization
Organization Name:DEENDE LLC
Other - Org Name:DEENDE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEMENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GBARBEA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:763-313-4244
Mailing Address - Street 1:3300 COUNTY ROAD 10 STE 304K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3066
Mailing Address - Country:US
Mailing Address - Phone:763-313-4244
Mailing Address - Fax:
Practice Address - Street 1:3300 COUNTY ROAD 10 STE 304K
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-3066
Practice Address - Country:US
Practice Address - Phone:763-313-4244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care