Provider Demographics
NPI:1952309403
Name:CONNECTCARE
Entity Type:Organization
Organization Name:CONNECTCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:320-234-4611
Mailing Address - Street 1:710 PARK ISLAND DR SW
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-2046
Mailing Address - Country:US
Mailing Address - Phone:320-234-5031
Mailing Address - Fax:320-234-5032
Practice Address - Street 1:710 PARK ISLAND DR SW
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-2046
Practice Address - Country:US
Practice Address - Phone:320-234-5031
Practice Address - Fax:320-234-5032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCLASS A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN121753OtherUCARE
MN5900017OtherMEDICA
MN1015077OtherPREFERRED ONE
MN9K99COOtherBLUE CROSS
MN248035Medicare ID - Type UnspecifiedHOMECARE