MEDICARE: VALENTINE CHE NJI

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	163WH0200X	Home Health Registered Nurse	42928	MN

General Provider Information

NPI Number	:	1154297240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALENTINE CHE NJI

Provider Business Mailing Address
First Line	:	1601 68TH LN N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-5800
Country	:	US
Telephone Number	:	612-290-7144
Fax Number	:	612-662-6817

Provider Business Practice Location Address
First Line	:	1601 68TH LN N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-5800
Country	:	US
Telephone Number	:	612-290-7144
Fax Number	:	612-662-6817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	02/18/2026

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