Provider Demographics
NPI:1720299332
Name:RESOLVE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:RESOLVE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:CHUKWUEMEKA
Authorized Official - Last Name:AGU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-219-7125
Mailing Address - Street 1:8248 LOGAN AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55444-1529
Mailing Address - Country:US
Mailing Address - Phone:763-219-7125
Mailing Address - Fax:763-503-9109
Practice Address - Street 1:8248 LOGAN AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55444-1529
Practice Address - Country:US
Practice Address - Phone:763-219-7125
Practice Address - Fax:763-503-9109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 173164-0163WH0200X
MN335762251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
Not Answered251J00000XAgenciesNursing Care