Provider Demographics
NPI:1831263789
Name:A PLUS HOME CARE, INC
Entity type:Organization
Organization Name:A PLUS HOME CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-854-7760
Mailing Address - Street 1:8400 NORMANDALE LAKE BLVD
Mailing Address - Street 2:SUITE 920
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437
Mailing Address - Country:US
Mailing Address - Phone:952-854-7760
Mailing Address - Fax:952-854-7842
Practice Address - Street 1:8400 NORMANDALE LAKE BLVD
Practice Address - Street 2:SUITE 920
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437
Practice Address - Country:US
Practice Address - Phone:952-854-7760
Practice Address - Fax:952-854-7842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN265745700Medicaid
MN167108OtherUCARE MINNESOTA