Provider Demographics
NPI:1912356221
Name:BETTER LIVING HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:BETTER LIVING HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-204-3337
Mailing Address - Street 1:5 COUNTY ROAD B E STE 2
Mailing Address - Street 2:
Mailing Address - City:LITTLE CANADA
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1945
Mailing Address - Country:US
Mailing Address - Phone:651-204-3337
Mailing Address - Fax:651-815-0087
Practice Address - Street 1:5 COUNTY ROAD B E STE 2
Practice Address - Street 2:
Practice Address - City:LITTLE CANADA
Practice Address - State:MN
Practice Address - Zip Code:55117-1945
Practice Address - Country:US
Practice Address - Phone:651-204-3337
Practice Address - Fax:651-815-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MNA873127100253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA873127100Medicaid