Provider Demographics
NPI:1861030256
Name:DAKOTA HOME CARE LLC
Entity Type:Organization
Organization Name:DAKOTA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HTET
Authorized Official - Middle Name:NAING
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-239-7249
Mailing Address - Street 1:1441 MCDONALD DR
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-3145
Mailing Address - Country:US
Mailing Address - Phone:651-239-7249
Mailing Address - Fax:
Practice Address - Street 1:1441 MCDONALD DR
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-3145
Practice Address - Country:US
Practice Address - Phone:651-239-7249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care