Provider Demographics
NPI:1700562543
Name:A-1 HOME CARE, LLC
Entity Type:Organization
Organization Name:A-1 HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:AKANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-755-5447
Mailing Address - Street 1:6525 CHEROKEE LN N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55428-1918
Mailing Address - Country:US
Mailing Address - Phone:651-755-5447
Mailing Address - Fax:651-429-1214
Practice Address - Street 1:6525 CHEROKEE LN N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55428-1918
Practice Address - Country:US
Practice Address - Phone:651-755-5447
Practice Address - Fax:651-429-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances