Healthcare Provider Details

I. General information

NPI: 1710805544
Provider Name (Legal Business Name): LIFEBRIDGE CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7273 COMMERCE CIR W
FRIDLEY MN
55432-3110
US

IV. Provider business mailing address

7273 COMMERCE CIR W
FRIDLEY MN
55432-3110
US

V. Phone/Fax

Practice location:
  • Phone: 763-206-9311
  • Fax: 763-206-9311
Mailing address:
  • Phone: 763-206-9311
  • Fax: 763-206-9311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DENNIS OBURE
Title or Position: PRESIDENT
Credential:
Phone: 763-206-9311