Provider Demographics
NPI:1841944394
Name:SHS-MN, INC
Entity type:Organization
Organization Name:SHS-MN, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:NERMYR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-694-0165
Mailing Address - Street 1:16430 45TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-2048
Mailing Address - Country:US
Mailing Address - Phone:763-694-0165
Mailing Address - Fax:
Practice Address - Street 1:16430 45TH AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-2048
Practice Address - Country:US
Practice Address - Phone:763-694-0165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle