1972504058 NPI number — MINNEAPOLIS SENIOR SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972504058 NPI number — MINNEAPOLIS SENIOR SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MINNEAPOLIS SENIOR SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HOME INSTEAD SENIOR CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972504058
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8990 SPRINGBROOK DR NW
Provider Second Line Business Mailing Address:
SUITE 255
Provider Business Mailing Address City Name:
COON RAPIDS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55433-5850
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
763-792-0041
Provider Business Mailing Address Fax Number:
763-792-0043

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8990 SPRINGBROOK DR NW
Provider Second Line Business Practice Location Address:
SUITE 255
Provider Business Practice Location Address City Name:
COON RAPIDS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55433-5850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-792-0041
Provider Business Practice Location Address Fax Number:
763-792-0043
Provider Enumeration Date:
08/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ARNOLD
Authorized Official First Name:
DAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
763-792-0041

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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