Healthcare Provider Details

I. General information

NPI: 1154261329
Provider Name (Legal Business Name): CARETEAM HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11207 POLK ST NE
BLAINE MN
55434-5503
US

IV. Provider business mailing address

11207 POLK ST NE
BLAINE MN
55434-5503
US

V. Phone/Fax

Practice location:
  • Phone: 612-426-9406
  • Fax: 612-351-0878
Mailing address:
  • Phone: 612-426-9406
  • Fax: 612-351-0878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JUDE ADIO
Title or Position: OWNER
Credential:
Phone: 612-426-9406