MEDICARE: BEST OF CARE HOME HEALTH INC.

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	:	1407199359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST OF CARE HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	7710 BROOKLYN BLVD
Second Line	:	SUITE 206D
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-3328
Country	:	US
Telephone Number	:	763-291-1474
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 BROOKLYN BLVD
Second Line	:	SUITE 206D
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-3328
Country	:	US
Telephone Number	:	763-291-1474
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALIVIA S THURMAN
Credential	:
Telephone Number	:	763-291-1474

Provider Enumeration Date	:	03/28/2013
Last Update Date	:	05/16/2013

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