Provider Demographics
NPI:1689309585
Name:NORTHWEST COMPASSIONATE CARE, LLC
Entity Type:Organization
Organization Name:NORTHWEST COMPASSIONATE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LOGELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-325-9137
Mailing Address - Street 1:6240 QUINWOOD LN N STE 208
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-6384
Mailing Address - Country:US
Mailing Address - Phone:612-325-9137
Mailing Address - Fax:
Practice Address - Street 1:6240 QUINWOOD LN N STE 208
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-6384
Practice Address - Country:US
Practice Address - Phone:612-325-9137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health