Provider Demographics
NPI:1952623852
Name:TRUSTED HOME CARE, LLC.
Entity Type:Organization
Organization Name:TRUSTED HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WELTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-445-2250
Mailing Address - Street 1:763 WESTWIND AVE
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-3239
Mailing Address - Country:US
Mailing Address - Phone:612-369-8258
Mailing Address - Fax:952-445-2250
Practice Address - Street 1:763 WESTWIND AVE
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3239
Practice Address - Country:US
Practice Address - Phone:612-369-8258
Practice Address - Fax:952-445-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN347828251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health