Healthcare Provider Details

I. General information

NPI: 1063357713
Provider Name (Legal Business Name): STREAMLINE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10600 BRUNSWICK RD APT 315
BLOOMINGTON MN
55438-1855
US

IV. Provider business mailing address

10600 BRUNSWICK RD APT 315
BLOOMINGTON MN
55438-1855
US

V. Phone/Fax

Practice location:
  • Phone: 386-589-9529
  • Fax: 386-589-9529
Mailing address:
  • Phone: 386-589-9529
  • Fax: 386-589-9529

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: KEVIS T TURNER
Title or Position: OWNER
Credential: TURNER
Phone: 386-589-9529