Provider Demographics
NPI:1578525317
Name:AMERIMED HOME CARE, INC.
Entity Type:Organization
Organization Name:AMERIMED HOME CARE, INC.
Other - Org Name:FREEDOM HOME HEALTH AGENCY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE-PRESIDENT; CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-854-9071
Mailing Address - Street 1:2626 E 82ND ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1300
Mailing Address - Country:US
Mailing Address - Phone:952-854-9071
Mailing Address - Fax:952-854-6774
Practice Address - Street 1:2626 E 82ND ST
Practice Address - Street 2:SUITE 260
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1300
Practice Address - Country:US
Practice Address - Phone:952-854-9071
Practice Address - Fax:952-854-6774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN150640OtherUCARE OF MN PROVIDER ID
MN=========OtherFEDERAL ID