Provider Demographics
NPI:1518285899
Name:HELPING SENIORS IN MINNESOTA
Entity Type:Organization
Organization Name:HELPING SENIORS IN MINNESOTA
Other - Org Name:SENIORS HELPING SENIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NICCUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-203-9710
Mailing Address - Street 1:14565 41ST AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-2749
Mailing Address - Country:US
Mailing Address - Phone:763-694-0165
Mailing Address - Fax:
Practice Address - Street 1:14565 41ST AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-2749
Practice Address - Country:US
Practice Address - Phone:763-694-0165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No253Z00000XAgenciesIn Home Supportive Care