1801978267 NPI number — AROUND THE CLOCK HOME CARE GROUP LLC

Table of content: (NPI 1801978267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801978267 NPI number — AROUND THE CLOCK HOME CARE GROUP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AROUND THE CLOCK HOME CARE GROUP LLC
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:
EVERYTIME HOME 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:
1801978267
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2257 LOUISIANA AVE S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST. LOUIS PARK
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-848-0935
Provider Business Mailing Address Fax Number:
952-920-6929

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2257 LOUISIANA AVE S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST. LOUIS PARK
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-848-0935
Provider Business Practice Location Address Fax Number:
952-920-6929
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OGATA
Authorized Official First Name:
BUFFY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF NURSING
Authorized Official Telephone Number:
952-848-0935

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  331082 , 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: 021207001 . This is a "MHP PROVIDER" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 4C7AR . This is a "BLUE CROSS BLUE SHIELD PR" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 181655 . This is a "UCARE PCA PROVIDER" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 0059-0080009 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 493973500 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3034047 . This is a "HEALTH PARTNERS PROV" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 46807 . This is a "HENNEPIN COUNTY HOME MANA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 169462 . This is a "UCARE PROVIDER NUMBER" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: N14265 . This is a "HOME LINK" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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