Provider Demographics
NPI:1801978267
Name:AROUND THE CLOCK HOME CARE GROUP LLC
Entity type:Organization
Organization Name:AROUND THE CLOCK HOME CARE GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:BUFFY
Authorized Official - Middle Name:
Authorized Official - Last Name:OGATA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:952-848-0935
Mailing Address - Street 1:2257 LOUISIANA AVE S
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426
Mailing Address - Country:US
Mailing Address - Phone:952-848-0935
Mailing Address - Fax:952-920-6929
Practice Address - Street 1:2257 LOUISIANA AVE S
Practice Address - Street 2:
Practice Address - City:ST. LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426
Practice Address - Country:US
Practice Address - Phone:952-848-0935
Practice Address - Fax:952-920-6929
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AROUND THE CLOCK HOME CARE GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-19
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331082251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN021207001OtherMHP PROVIDER
MN4C7AROtherBLUE CROSS BLUE SHIELD PR
MN181655OtherUCARE PCA PROVIDER
MN0059-0080009OtherMEDICA
MN493973500Medicaid
MN3034047OtherHEALTH PARTNERS PROV
MN46807OtherHENNEPIN COUNTY HOME MANA
MN169462OtherUCARE PROVIDER NUMBER
MNN14265OtherHOME LINK
MNN14265OtherHOME LINK