Provider Demographics
NPI:1821121666
Name:HOME CARE CONNECTIONS, INC.
Entity Type:Organization
Organization Name:HOME CARE CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHILOMENA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MPH
Authorized Official - Phone:952-473-1177
Mailing Address - Street 1:600 TWELVE OAKS CENTER DR
Mailing Address - Street 2:SUITE 640
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-4501
Mailing Address - Country:US
Mailing Address - Phone:952-473-1177
Mailing Address - Fax:952-473-1870
Practice Address - Street 1:600 TWELVE OAKS CENTER DR
Practice Address - Street 2:SUITE 640
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4501
Practice Address - Country:US
Practice Address - Phone:952-473-1177
Practice Address - Fax:952-473-1870
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORNERSTONE HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-13
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332957251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN132067OtherPROVIDER ID FOR UCARE MN