Healthcare Provider Details

I. General information

NPI: 1508770637
Provider Name (Legal Business Name): PEOPLE SOLUTIONS COMMUNITY HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 W 82ND ST APT 1406
BLOOMINGTON MN
55437-1575
US

IV. Provider business mailing address

5100 W 82ND ST APT 1406
BLOOMINGTON MN
55437-1575
US

V. Phone/Fax

Practice location:
  • Phone: 612-701-2154
  • Fax:
Mailing address:
  • Phone: 612-701-2154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASMINE JACKSON
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 612-701-2154