Provider Demographics
NPI:1821495904
Name:GUARANTEED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:GUARANTEED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JIMMIE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:PART OWNER
Authorized Official - Phone:763-710-5722
Mailing Address - Street 1:8525 EDINBROOK XING STE 109
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1967
Mailing Address - Country:US
Mailing Address - Phone:763-710-5722
Mailing Address - Fax:
Practice Address - Street 1:8525 EDINBROOK XING STE 109
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-1967
Practice Address - Country:US
Practice Address - Phone:763-710-5722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR210406-9251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health