MEDICARE: HHC SERVICES MN, 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	APPLIED FOR	MN
2	251G00000X	Community Based Hospice Care Agency	1464610	ND
3	253Z00000X	In Home Supportive Care Agency
4	251J00000X	Nursing Care Agency	1464610	ND
5	253Z00000X	In Home Supportive Care Agency	1464610	ND
6	251E00000X	Home Health Agency	1464610	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801295399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HHC SERVICES MN, INC

Provider Business Mailing Address
First Line	:	4302 13TH AVE S
Second Line	:	SUITE 4-375
City	:	FARGO
State	:	ND
Zip	:	58103-3395
Country	:	US
Telephone Number	:	701-850-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3227 OAK RIDGE LOOP E
Second Line	:
City	:	WEST FARGO
State	:	ND
Zip	:	58078-8482
Country	:	US
Telephone Number	:	701-850-2000
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. JOSHUA L GILLELAND
Credential	:	CSA, CBIS
Telephone Number	:	701-850-2000

Provider Enumeration Date	:	08/20/2014
Last Update Date	:	01/09/2024

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Directions to “HHC SERVICES MN, INC ” Practice Location

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