Provider Demographics
NPI:1922438951
Name:TWIN CITY CARE
Entity Type:Organization
Organization Name:TWIN CITY CARE
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:BERARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-786-1000
Mailing Address - Street 1:9298 CENTRAL AVE NE STE 401
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-4220
Mailing Address - Country:US
Mailing Address - Phone:763-786-1000
Mailing Address - Fax:763-786-9440
Practice Address - Street 1:9298 CENTRAL AVE NE STE 401
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-4220
Practice Address - Country:US
Practice Address - Phone:763-786-1000
Practice Address - Fax:763-786-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN362392251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health