Provider Demographics
NPI:1922690320
Name:START TODAY HENNEPIN LLC
Entity Type:Organization
Organization Name:START TODAY HENNEPIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:239-970-2484
Mailing Address - Street 1:PO BOX 29307
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-0307
Mailing Address - Country:US
Mailing Address - Phone:612-843-4230
Mailing Address - Fax:
Practice Address - Street 1:2531 MARSHALL ST NE UNIT A
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-3376
Practice Address - Country:US
Practice Address - Phone:612-843-4230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-07
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty