Provider Demographics
NPI:1477291516
Name:HHC SERVICES MN, LLC
Entity type:Organization
Organization Name:HHC SERVICES MN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MYHRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-270-0843
Mailing Address - Street 1:617 E MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-6501
Mailing Address - Country:US
Mailing Address - Phone:763-270-0843
Mailing Address - Fax:
Practice Address - Street 1:617 E MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-6501
Practice Address - Country:US
Practice Address - Phone:763-270-0843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care