Healthcare Provider Details
I. General information
NPI: 1467205377
Provider Name (Legal Business Name): NERVANA'S CARING HANDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8719 BLOOMINGTON AVE
BLOOMINGTON MN
55425-1923
US
IV. Provider business mailing address
8719 BLOOMINGTON AVE
BLOOMINGTON MN
55425-1923
US
V. Phone/Fax
- Phone: 612-220-7511
- Fax:
- Phone: 612-220-7511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NERVANA
RAMDYAL
Title or Position: LALD, OWNER
Credential: RN, LALD
Phone: 612-220-7511