Provider Demographics
NPI:1639575822
Name:CARE PLUS HEALTH SYSTEMS,LLC
Entity Type:Organization
Organization Name:CARE PLUS HEALTH SYSTEMS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ZELDA
Authorized Official - Middle Name:LIBERTY
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-464-7046
Mailing Address - Street 1:3300 COUNTY ROAD 10 STE 307
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3066
Mailing Address - Country:US
Mailing Address - Phone:763-464-7046
Mailing Address - Fax:
Practice Address - Street 1:3300 COUNTY ROAD 10 STE 307
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-3066
Practice Address - Country:US
Practice Address - Phone:763-464-7046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN79226630002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health