Provider Demographics
NPI:1710306063
Name:CARING & COMPASSIONATE HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:CARING & COMPASSIONATE HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:REMONA
Authorized Official - Middle Name:LYSA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:507-329-3531
Mailing Address - Street 1:921 4TH AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:56187-2372
Mailing Address - Country:US
Mailing Address - Phone:507-329-3531
Mailing Address - Fax:507-343-0076
Practice Address - Street 1:921 4TH AVE STE 6
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MN
Practice Address - Zip Code:56187-2372
Practice Address - Country:US
Practice Address - Phone:507-329-3531
Practice Address - Fax:507-343-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN24-8133Medicare UPIN