Healthcare Provider Details

I. General information

NPI: 1912658246
Provider Name (Legal Business Name): COON RAPIDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 COON RAPIDS BLVD NW
COON RAPIDS MN
55433-5831
US

IV. Provider business mailing address

PO BOX 490246
BLAINE MN
55449-0246
US

V. Phone/Fax

Practice location:
  • Phone: 612-770-8226
  • Fax:
Mailing address:
  • Phone: 612-770-8226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: IVAN MUHIDINE
Title or Position: VP
Credential:
Phone: 612-770-8226