Healthcare Provider Details

I. General information

NPI: 1093347833
Provider Name (Legal Business Name): HEALTH CARE PLUS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 OLSON MEMORIAL HWY
GOLDEN VALLEY MN
55422-5130
US

IV. Provider business mailing address

4949 OLSON MEMORIAL HWY
GOLDEN VALLEY MN
55422-5130
US

V. Phone/Fax

Practice location:
  • Phone: 763-546-8766
  • Fax: 763-546-8464
Mailing address:
  • Phone: 763-546-8766
  • Fax: 763-546-8464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: INESSA MARINOV
Title or Position: DIRECTOR
Credential: RN
Phone: 763-546-8766