Healthcare Provider Details

I. General information

NPI: 1952309403
Provider Name (Legal Business Name): CONNECTCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 PARK ISLAND DR SW
HUTCHINSON MN
55350-2046
US

IV. Provider business mailing address

710 PARK ISLAND DR SW
HUTCHINSON MN
55350-2046
US

V. Phone/Fax

Practice location:
  • Phone: 320-234-5031
  • Fax: 320-234-5032
Mailing address:
  • Phone: 320-234-5031
  • Fax: 320-234-5032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberCLASS A
License Number StateMN

VIII. Authorized Official

Name: MS. DEEANN DICKE
Title or Position: DIRECTOR
Credential: RN
Phone: 320-234-4611