Provider Demographics
NPI:1942694765
Name:ABODE HOSPICE AND HOMECARE OF MN, LLC
Entity Type:Organization
Organization Name:ABODE HOSPICE AND HOMECARE OF MN, LLC
Other - Org Name:ABODE HOME CARE OF MINNESOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-576-0087
Mailing Address - Street 1:7616 CURRELL BLVD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2290
Mailing Address - Country:US
Mailing Address - Phone:651-323-2806
Mailing Address - Fax:651-344-1507
Practice Address - Street 1:7616 CURRELL BLVD
Practice Address - Street 2:SUITE 175
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2290
Practice Address - Country:US
Practice Address - Phone:651-323-2806
Practice Address - Fax:651-344-1507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health