Healthcare Provider Details

I. General information

NPI: 1386431344
Provider Name (Legal Business Name): PATH FOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 07/10/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14565 JULIET LANE
EDEN PRAIRIE MN
55347
US

IV. Provider business mailing address

14565 JULIET LANE
EDEN PRAIRIE MN
55347
US

V. Phone/Fax

Practice location:
  • Phone: 952-217-0035
  • Fax:
Mailing address:
  • Phone: 952-217-0035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CLAIRE CHENG
Title or Position: PRESIDENT
Credential:
Phone: 952-217-0035