Provider Demographics
NPI:1851668594
Name:HOME INSTEAD SENIOR CARE
Entity Type:Organization
Organization Name:HOME INSTEAD SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-258-3055
Mailing Address - Street 1:406 GREAT OAK DR
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-2504
Mailing Address - Country:US
Mailing Address - Phone:320-258-3055
Mailing Address - Fax:
Practice Address - Street 1:10155 UNIVERSITY AVE NE
Practice Address - Street 2:#100
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-8017
Practice Address - Country:US
Practice Address - Phone:763-792-0041
Practice Address - Fax:763-792-0043
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINNESOTA ELDER SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No332900000XSuppliersNon-Pharmacy Dispensing Site