Provider Demographics
NPI:1447409362
Name:HOME CARE OF MINNESOTA INC.
Entity Type:Organization
Organization Name:HOME CARE OF MINNESOTA INC.
Other - Org Name:CAREMINDERS HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KREBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-435-7140
Mailing Address - Street 1:4501 MINNETONKA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-4091
Mailing Address - Country:US
Mailing Address - Phone:612-435-7140
Mailing Address - Fax:612-435-7141
Practice Address - Street 1:4501 MINNETONKA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-4091
Practice Address - Country:US
Practice Address - Phone:612-435-7140
Practice Address - Fax:612-435-7141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN341819251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health