Healthcare Provider Details

I. General information

NPI: 1326853391
Provider Name (Legal Business Name): KYRGITT HOLDINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5309 MALIBU DR
EDINA MN
55436-1031
US

IV. Provider business mailing address

5309 MALIBU DR
EDINA MN
55436-1031
US

V. Phone/Fax

Practice location:
  • Phone: 952-261-2358
  • Fax:
Mailing address:
  • Phone: 952-261-2358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: VERONICA C RONO
Title or Position: CEO/DIRECTOR
Credential:
Phone: 952-261-2358