Provider Demographics
NPI:1841384823
Name:CARE 2000 HOMECARE SERVICES OF FERGUS FALLS
Entity Type:Organization
Organization Name:CARE 2000 HOMECARE SERVICES OF FERGUS FALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:WASSMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-886-4414
Mailing Address - Street 1:8200 HUMBOLDT AVE S STE 303
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1453
Mailing Address - Country:US
Mailing Address - Phone:952-886-4414
Mailing Address - Fax:952-886-8960
Practice Address - Street 1:119 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2270
Practice Address - Country:US
Practice Address - Phone:218-736-0246
Practice Address - Fax:218-736-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN314616251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health