Healthcare Provider Details

I. General information

NPI: 1881522118
Provider Name (Legal Business Name): TWO SISTERS HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11133 CHURCH ST NE
HANOVER MN
55341-4032
US

IV. Provider business mailing address

11133 CHURCH ST NE
HANOVER MN
55341-4032
US

V. Phone/Fax

Practice location:
  • Phone: 763-290-0054
  • Fax:
Mailing address:
  • Phone: 763-290-0054
  • Fax:

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: KENDRA DICKINSON
Title or Position: OWNER
Credential:
Phone: 763-370-2474