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NPI Code Detail

MEDICARE: PRESBYTERIAN HOMES HOSPICE INC

MEDICARE: PRESBYTERIAN HOMES HOSPICE 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
1302F00000XExclusive Provider Organization338275MN

General Provider Information

NPI Number : 1609048883
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN HOMES HOSPICE INC
Provider Business Mailing Address
First Line : 2845 HAMLINE AVE N
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-7127
Country : US
Telephone Number : 651-746-8200
Fax Number :
Provider Business Practice Location Address
First Line : 2845 HAMLINE AVE N
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-7127
Country : US
Telephone Number : 651-746-8200
Fax Number :
Authorized Official
Title or Position : CFO
Name : MARK THOMAS MEYER
Credential :
Telephone Number : 651-631-6120
Provider Enumeration Date : 03/28/2008
Last Update Date : 02/24/2026

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Directions to “PRESBYTERIAN HOMES HOSPICE INC ” Practice Location

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