Provider Demographics
NPI:1265767099
Name:SASCHA MANSSON DBA TOUCHING HEARTS AT HOME
Entity type:Organization
Organization Name:SASCHA MANSSON DBA TOUCHING HEARTS AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SASCHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-724-4743
Mailing Address - Street 1:314 W SUPERIOR ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-1805
Mailing Address - Country:US
Mailing Address - Phone:218-724-4743
Mailing Address - Fax:
Practice Address - Street 1:314 W SUPERIOR ST
Practice Address - Street 2:SUITE 310
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1805
Practice Address - Country:US
Practice Address - Phone:218-724-4743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN344175253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA120427300OtherMEDICAL ASSISTANCE