Provider Demographics
NPI:1952466294
Name:TWIN CITIES HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:TWIN CITIES HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMANO
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:651-298-1086
Mailing Address - Street 1:526 WEST SEVENTH STREET SUITE B.
Mailing Address - Street 2:
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-3006
Mailing Address - Country:US
Mailing Address - Phone:651-298-1086
Mailing Address - Fax:651-298-8711
Practice Address - Street 1:526 7TH ST W STE B
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-3006
Practice Address - Country:US
Practice Address - Phone:651-298-1086
Practice Address - Fax:651-298-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health