Provider Demographics
NPI:1568535482
Name:HOMERESOURCE CARE & NSG SERV. INC
Entity Type:Organization
Organization Name:HOMERESOURCE CARE & NSG SERV. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BROWNSON
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:AREBOJIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-714-7150
Mailing Address - Street 1:1399 GENEVA AVE N
Mailing Address - Street 2:# 103
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5709
Mailing Address - Country:US
Mailing Address - Phone:651-714-7150
Mailing Address - Fax:651-714-7192
Practice Address - Street 1:1399 GENEVA AVE N
Practice Address - Street 2:# 103
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-5709
Practice Address - Country:US
Practice Address - Phone:651-714-7150
Practice Address - Fax:651-714-7192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331535251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health