Healthcare Provider Details

I. General information

NPI: 1518308725
Provider Name (Legal Business Name): AMERICAN BEST HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 63RD AVE N
BROOKLYN CENTER MN
55429-2210
US

IV. Provider business mailing address

3501 63RD AVE N
BROOKLYN CENTER MN
55429-2210
US

V. Phone/Fax

Practice location:
  • Phone: 763-432-7356
  • Fax: 763-432-6856
Mailing address:
  • Phone: 763-432-7356
  • Fax: 763-432-6856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number362027
License Number StateMN

VIII. Authorized Official

Name: SEGUN OLATAYO
Title or Position: ADMINISRATOR
Credential:
Phone: 612-919-9523