Healthcare Provider Details

I. General information

NPI: 1801620075
Provider Name (Legal Business Name): TOCARE WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 33RD AVE S UNIT B431
BLOOMINGTON MN
55425-4651
US

IV. Provider business mailing address

8001 33RD AVE S UNIT B431
BLOOMINGTON MN
55425-4651
US

V. Phone/Fax

Practice location:
  • Phone: 952-393-0505
  • Fax:
Mailing address:
  • Phone: 952-393-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NASRO A AHMED
Title or Position: FAMILY/PSYCHIATRY NURSE PRACTIONER
Credential: DNP, FNP-C, PMHNP-BC
Phone: 952-393-0505