Healthcare Provider Details

I. General information

NPI: 1811134414
Provider Name (Legal Business Name): MILES VENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2009
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5727 BROOKLYN BLVD
BROOKLYN CENTER MN
55429-3057
US

IV. Provider business mailing address

5727 BROOKLYN BLVD
BROOKLYN CENTER MN
55429-3057
US

V. Phone/Fax

Practice location:
  • Phone: 763-205-5880
  • Fax: 763-205-5878
Mailing address:
  • Phone: 763-205-5880
  • Fax: 763-205-5878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number385172
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ANNE TERESA NESS
Title or Position: DON
Credential: RN
Phone: 763-205-5880