Healthcare Provider Details

I. General information

NPI: 1093690083
Provider Name (Legal Business Name): LEOPHANE CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

946 EMMY LN
HANOVER MN
55341-3106
US

IV. Provider business mailing address

946 EMMY LN
HANOVER MN
55341-3106
US

V. Phone/Fax

Practice location:
  • Phone: 612-461-9036
  • Fax:
Mailing address:
  • Phone: 612-461-9036
  • Fax: 855-849-0501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LEONID STEPHANE TCHUISSI SEPPO
Title or Position: OWNER
Credential:
Phone: 612-461-9036