Provider Demographics
NPI:1689683286
Name:OBHOMECARE
Entity Type:Organization
Organization Name:OBHOMECARE
Other - Org Name:OB HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OBHOMECARE
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:REINERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS RN
Authorized Official - Phone:612-863-4478
Mailing Address - Street 1:800 E 28TH ST
Mailing Address - Street 2:MAIL ROUTE 17417
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3723
Mailing Address - Country:US
Mailing Address - Phone:612-863-4478
Mailing Address - Fax:
Practice Address - Street 1:800 E 28TH ST
Practice Address - Street 2:MAIL ROUTE 17417
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-863-4478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR105167-6251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health