Provider Demographics
NPI:1700115508
Name:SMN HOME CARE, LLC
Entity Type:Organization
Organization Name:SMN HOME CARE, LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEDELMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-289-1147
Mailing Address - Street 1:1700 N. BROADWAY
Mailing Address - Street 2:SUITE 114
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906
Mailing Address - Country:US
Mailing Address - Phone:507-289-1147
Mailing Address - Fax:507-289-7247
Practice Address - Street 1:1700 N. BROADWAY
Practice Address - Street 2:SUITE 114
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906
Practice Address - Country:US
Practice Address - Phone:507-289-1147
Practice Address - Fax:507-289-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health