Provider Demographics
NPI:1629520358
Name:BHUTANESE HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:BHUTANESE HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHIM
Authorized Official - Middle Name:RAJ
Authorized Official - Last Name:ADHIKARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-636-2983
Mailing Address - Street 1:293 COMO AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1842
Mailing Address - Country:US
Mailing Address - Phone:612-636-2983
Mailing Address - Fax:651-493-7539
Practice Address - Street 1:1901 WAGENER PL
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-6962
Practice Address - Country:US
Practice Address - Phone:612-636-2983
Practice Address - Fax:651-493-7539
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BHUTANESE HIME HEALTH CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-28
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN98792251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health