Provider Demographics
NPI:1467174821
Name:MIGHTY LOVE HOME CARE INC
Entity Type:Organization
Organization Name:MIGHTY LOVE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-ANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-432-0379
Mailing Address - Street 1:7850 RIVERDALE DR NW STE 26
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-7217
Mailing Address - Country:US
Mailing Address - Phone:763-432-0379
Mailing Address - Fax:763-432-6176
Practice Address - Street 1:7850 RIVERDALE DR NW STE 26
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-7217
Practice Address - Country:US
Practice Address - Phone:763-432-0379
Practice Address - Fax:763-432-6176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
Yes251J00000XAgenciesNursing Care