Provider Demographics
NPI:1851434401
Name:HOME AND COMMUNITY OPTIONS, INC.
Entity Type:Organization
Organization Name:HOME AND COMMUNITY OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:THEEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-452-1021
Mailing Address - Street 1:66 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-3478
Mailing Address - Country:US
Mailing Address - Phone:507-452-1021
Mailing Address - Fax:507-452-1504
Practice Address - Street 1:66 E 3RD ST
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-3478
Practice Address - Country:US
Practice Address - Phone:507-452-1021
Practice Address - Fax:507-452-1504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNAPPLIED FOR251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN202D3HOOtherPCA BLUE PLUS
MN657T9HOOtherMENTAL HEALTH BLUE CROSS