Provider Demographics
NPI:1700073293
Name:CULTURE HOME HEALTHCARE INCORPORATED
Entity Type:Organization
Organization Name:CULTURE HOME HEALTHCARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NENG
Authorized Official - Middle Name:C
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-489-4735
Mailing Address - Street 1:510 BRUNSON STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130
Mailing Address - Country:US
Mailing Address - Phone:651-489-4735
Mailing Address - Fax:651-489-4738
Practice Address - Street 1:510 BRUNSON STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130
Practice Address - Country:US
Practice Address - Phone:651-489-4735
Practice Address - Fax:651-489-4738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN245728800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA245728800OtherUNIQUE MINNESOTA PROVIDER IDENTIFIER