MEDICARE: A HOME FOR THE DAY

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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1609499235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HOME FOR THE DAY

Provider Business Mailing Address
First Line	:	24910 COUNTY ROAD 137
Second Line	:
City	:	SAINT AUGUSTA
State	:	MN
Zip	:	56301-9707
Country	:	US
Telephone Number	:	320-260-5251
Fax Number	:	320-251-5396

Provider Business Practice Location Address
First Line	:	1971 PINE CONE RD
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56303-4618
Country	:	US
Telephone Number	:	320-260-5251
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	BETTY KAREN VOSS HABERLE
Credential	:
Telephone Number	:	320-260-5251

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	05/18/2020

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Directions to “A HOME FOR THE DAY ” Practice Location

Language	Start Address	Practice Location

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