Healthcare Provider Details

I. General information

NPI: 1699695916
Provider Name (Legal Business Name): MINNESOTA HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7448 MINNESOTA DR
CITRUS HEIGHTS CA
95610-2509
US

IV. Provider business mailing address

7448 MINNESOTA DR
CITRUS HEIGHTS CA
95610-2509
US

V. Phone/Fax

Practice location:
  • Phone: 408-207-8741
  • Fax: 916-729-9461
Mailing address:
  • Phone: 408-207-8741
  • Fax: 916-729-9461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name: MRS. VERA O OSIFO-DOE
Title or Position: ADMINISTRATOR
Credential: OSIFO-DOE
Phone: 408-207-8741