Healthcare Provider Details

I. General information

NPI: 1942166152
Provider Name (Legal Business Name): ARROWHEAD PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 GRAND AVE APT 1
DULUTH MN
55807-2850
US

IV. Provider business mailing address

3815 GRAND AVE APT 1
DULUTH MN
55807-2850
US

V. Phone/Fax

Practice location:
  • Phone: 218-580-8495
  • Fax:
Mailing address:
  • Phone: 218-580-8495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JASON EDWARD KIRK
Title or Position: OWNER
Credential:
Phone: 218-580-8495