Provider Demographics
NPI:1518485226
Name:ACCRA CARE
Entity Type:Organization
Organization Name:ACCRA CARE
Other - Org Name:ACCRA TELE-CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-935-3515
Mailing Address - Street 1:12600 WHITEWATER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9450
Mailing Address - Country:US
Mailing Address - Phone:952-935-3515
Mailing Address - Fax:952-935-7112
Practice Address - Street 1:12600 WHITEWATER DR STE 100
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9450
Practice Address - Country:US
Practice Address - Phone:952-935-3515
Practice Address - Fax:952-935-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility