Provider Demographics
NPI:1356701569
Name:TERACOND HOME HEALTH CARE
Entity type:Organization
Organization Name:TERACOND HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EYITAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:ONAYIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-222-8785
Mailing Address - Street 1:9315 SYCAMORE CT N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-7116
Mailing Address - Country:US
Mailing Address - Phone:763-222-8785
Mailing Address - Fax:
Practice Address - Street 1:9315 SYCAMORE CT N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-7116
Practice Address - Country:US
Practice Address - Phone:763-222-8785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health