Provider Demographics
NPI:1477795995
Name:N&V HELPFUL HEART CARE INC,
Entity Type:Organization
Organization Name:N&V HELPFUL HEART CARE INC,
Other - Org Name:N&V HELPFUL HEART CARE INC,
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERA
Authorized Official - Middle Name:GARLEY
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-442-0460
Mailing Address - Street 1:VERA DIXON
Mailing Address - Street 2:6000 BASS LAKE RD SUITE 106
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2453
Mailing Address - Country:US
Mailing Address - Phone:763-442-0460
Mailing Address - Fax:763-226-2397
Practice Address - Street 1:6000 BASS LAKE RD
Practice Address - Street 2:# 210
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429
Practice Address - Country:US
Practice Address - Phone:763-218-8685
Practice Address - Fax:763-537-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN339941253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========OtherHOME CARE CLASS A AGACY