Provider Demographics
NPI:1811135726
Name:MORNINGSTAR HEALTHCARE SERVICES,LLC
Entity type:Organization
Organization Name:MORNINGSTAR HEALTHCARE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMNISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:OJIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-209-2950
Mailing Address - Street 1:2147 UNIVERSITY AVE.WEST SUITE 206
Mailing Address - Street 2:
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114
Mailing Address - Country:US
Mailing Address - Phone:651-209-2950
Mailing Address - Fax:651-917-2013
Practice Address - Street 1:2147 UNIVERSITY AVE W STE 206
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1327
Practice Address - Country:US
Practice Address - Phone:651-209-2950
Practice Address - Fax:651-917-2013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01084-04251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health