Healthcare Provider Details

I. General information

NPI: 1447903117
Provider Name (Legal Business Name): PIONEER HOME CARE LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5109 W OLD SHAKOPEE RD
BLOOMINGTON MN
55437-3330
US

IV. Provider business mailing address

5109 W OLD SHAKOPEE RD
BLOOMINGTON MN
55437-3330
US

V. Phone/Fax

Practice location:
  • Phone: 469-268-5045
  • Fax:
Mailing address:
  • Phone: 469-268-5045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SULEMAN NEBI
Title or Position: OWNER
Credential:
Phone: 469-268-5045