Provider Demographics
NPI:1013232701
Name:EPISCOPAL HOME CARE AND SERVICES
Entity Type:Organization
Organization Name:EPISCOPAL HOME CARE AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HOME CARE
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-632-8812
Mailing Address - Street 1:490 LYNNHURST AVE E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3449
Mailing Address - Country:US
Mailing Address - Phone:651-632-8808
Mailing Address - Fax:651-288-4662
Practice Address - Street 1:490 LYNNHURST AVE E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3449
Practice Address - Country:US
Practice Address - Phone:651-632-8808
Practice Address - Fax:651-288-4662
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPISCOPAL HOMES OF MINNESOTA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346640251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN346640OtherCLASS F LICENSE