Provider Demographics
NPI:1508390493
Name:SYNCARE, INC
Entity Type:Organization
Organization Name:SYNCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORTILLOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-512-3785
Mailing Address - Street 1:11622 LIVE OAK DR
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-2592
Mailing Address - Country:US
Mailing Address - Phone:612-512-3785
Mailing Address - Fax:612-435-1231
Practice Address - Street 1:601 CARLSON PKWY STE 1050
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-5219
Practice Address - Country:US
Practice Address - Phone:612-512-3785
Practice Address - Fax:612-435-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based