1194145367 NPI number — TRUST HOME HEALTH CARE, 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 1194145367 NPI number — TRUST HOME HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUST HOME HEALTH CARE, 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:
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:
1194145367
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1411 W SAINT GERMAIN ST STE 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT CLOUD
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56301-4179
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
320-980-3740
Provider Business Mailing Address Fax Number:
320-281-5781

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1411 W SAINT GERMAIN ST STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT CLOUD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56301-4179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-980-3740
Provider Business Practice Location Address Fax Number:
320-281-5781
Provider Enumeration Date:
04/25/2014

Additional Information

Authorized Official

Authorized Official Last Name:
SALAT
Authorized Official First Name:
DOOL
Authorized Official Middle Name:
MAHAT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
612-757-5008

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  A998103100 , 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: 1194145367 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: A998103100 . This is a "UNIQUE MINNESOTA PROVIDER IDENTIFIER" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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