Provider Demographics
NPI:1659991545
Name:BELONG HEALTH CARE
Entity Type:Organization
Organization Name:BELONG HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:DECONTEE
Authorized Official - Last Name:THIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-980-6520
Mailing Address - Street 1:16346 70TH AVE N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-2960
Mailing Address - Country:US
Mailing Address - Phone:267-980-6520
Mailing Address - Fax:
Practice Address - Street 1:4809 OXBOROUGH GDNS
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3993
Practice Address - Country:US
Practice Address - Phone:267-980-6520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care