MEDICARE: ARMS OF COMPASSION HOME CARE SERVICE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1376794396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMS OF COMPASSION HOME CARE SERVICE

Provider Business Mailing Address
First Line	:	3825 51ST AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-3368
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3825 51ST AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-3368
Country	:	US
Telephone Number	:	612-408-8433
Fax Number	:	612-659-1499

Authorized Official
Title or Position	:	OWNER
Name	:	KECIA CANNON
Credential	:
Telephone Number	:	612-408-3433

Provider Enumeration Date	:	10/08/2008
Last Update Date	:	10/08/2008

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