Provider Demographics
NPI:1770861445
Name:MAGIC HEALTHCARE PARTNERS
Entity Type:Organization
Organization Name:MAGIC HEALTHCARE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONES
Authorized Official - Middle Name:
Authorized Official - Last Name:BITANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-807-1685
Mailing Address - Street 1:6000 BASS LAKE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2772
Mailing Address - Country:US
Mailing Address - Phone:952-807-1685
Mailing Address - Fax:612-435-1378
Practice Address - Street 1:6000 BASS LAKE RD STE 207
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429-2772
Practice Address - Country:US
Practice Address - Phone:952-807-1685
Practice Address - Fax:612-435-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care