Healthcare Provider Details

I. General information

NPI: 1396558359
Provider Name (Legal Business Name): DIG GATEKEEPERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 W CHANDLER ST
ARLINGTON MN
55307-9555
US

IV. Provider business mailing address

821 W CHANDLER ST
ARLINGTON MN
55307-9555
US

V. Phone/Fax

Practice location:
  • Phone: 651-202-5813
  • Fax:
Mailing address:
  • Phone: 651-202-5813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN BATES
Title or Position: OWNER
Credential:
Phone: 651-202-5813