Provider Demographics
NPI:1659501591
Name:PLEASANT HOME CARE INC
Entity Type:Organization
Organization Name:PLEASANT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAI
Authorized Official - Middle Name:HNOU
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-216-1322
Mailing Address - Street 1:5739 128TH ST N
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:MN
Mailing Address - Zip Code:55038-7440
Mailing Address - Country:US
Mailing Address - Phone:651-216-1322
Mailing Address - Fax:651-493-2745
Practice Address - Street 1:1394 JACKSON ST STE 103
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-4671
Practice Address - Country:US
Practice Address - Phone:651-335-0532
Practice Address - Fax:651-493-2745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health