MEDICARE: MORRISET HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093576332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRISET HOMECARE LLC

Provider Business Mailing Address
First Line	:	6712 EMERSON AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-1524
Country	:	US
Telephone Number	:	612-562-1785
Fax Number	:

Provider Business Practice Location Address
First Line	:	6712 EMERSON AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-1524
Country	:	US
Telephone Number	:	612-562-1785
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACKLINE MORIASI
Credential	:	REGISTERED NURSE
Telephone Number	:	612-562-1785

Provider Enumeration Date	:	01/23/2024
Last Update Date	:	02/19/2026

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