MEDICARE: HELPING HAND BY LILLIE

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1306717525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HAND BY LILLIE

Provider Business Mailing Address
First Line	:	330 2ND AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-5500
Country	:	US
Telephone Number	:	763-443-7052
Fax Number	:

Provider Business Practice Location Address
First Line	:	4404 83RD CIR N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-2534
Country	:	US
Telephone Number	:	763-443-7052
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TRACY DENISE WINTERS
Credential	:	NURSE
Telephone Number	:	763-443-7052

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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Directions to “HELPING HAND BY LILLIE ” Practice Location

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