MEDICARE: A-1 HOME CARE, LLC

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	3104A0630X	Assisted Living Facility (Behavioral Disturbances)

General Provider Information

NPI Number	:	1700562543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-1 HOME CARE, LLC

Provider Business Mailing Address
First Line	:	6525 CHEROKEE LN N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55428-1918
Country	:	US
Telephone Number	:	651-755-5447
Fax Number	:	651-429-1214

Provider Business Practice Location Address
First Line	:	6525 CHEROKEE LN N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55428-1918
Country	:	US
Telephone Number	:	651-755-5447
Fax Number	:	651-429-1214

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RICHARD S AKANDE
Credential	:
Telephone Number	:	651-755-5447

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	06/26/2023

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Directions to “A-1 HOME CARE, LLC ” Practice Location

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