Provider Demographics
NPI:1578074811
Name:WE CARE HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:WE CARE HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CONCHETTA
Authorized Official - Middle Name:GIDI
Authorized Official - Last Name:BANMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-670-8177
Mailing Address - Street 1:12100 GROUSE ST NW APT 605
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-1991
Mailing Address - Country:US
Mailing Address - Phone:763-670-8177
Mailing Address - Fax:763-432-2195
Practice Address - Street 1:7644 HUMBOLDT AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55444-2505
Practice Address - Country:US
Practice Address - Phone:763-670-8177
Practice Address - Fax:763-432-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health