1982600094 NPI number — CARE PLUS HHA 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 1982600094 NPI number — CARE PLUS HHA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARE PLUS HHA 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:
Provider Other Organization Name Type Code:
6
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:
1982600094
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1299 ARCADE ST STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55106-2080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
763-529-5520
Provider Business Mailing Address Fax Number:
763-529-5521

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1299 ARCADE ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55106-2080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-529-5520
Provider Business Practice Location Address Fax Number:
763-529-5521
Provider Enumeration Date:
06/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
VANG
Authorized Official First Name:
MAINHIA
Authorized Official Middle Name:
ALLY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
763-529-5520

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  CLASS A - HOME CARE , 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)

  • Identifier: 5900148 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 682555900 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1982600094 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108290 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 2769 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 8359CA . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 930143619 . This is a "METROPOLITAN HEALTH PLAN" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 182876 . This is a "UCARE PCA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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