Healthcare Provider Details

I. General information

NPI: 1093736431
Provider Name (Legal Business Name): VOA CARE CENTERS, MINNESOTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 02/05/2021
Certification Date: 02/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 XERXES AVE S
EDINA MN
55423-1033
US

IV. Provider business mailing address

7485 OFFICE RIDGE CIR
EDEN PRAIRIE MN
55344-3690
US

V. Phone/Fax

Practice location:
  • Phone: 952-925-8500
  • Fax: 952-922-4593
Mailing address:
  • Phone: 952-941-0305
  • Fax: 952-941-0428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number330898
License Number StateMN

VIII. Authorized Official

Name: NANCY GAVIN
Title or Position: ASSISTANT SECRETARY/TREASURER
Credential:
Phone: 952-941-0305