Healthcare Provider Details

I. General information

NPI: 1184277683
Provider Name (Legal Business Name): COMMON SENSE SERVICES FOR SENIORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6415 CARMEN AVE
INVER GROVE HEIGHTS MN
55076-4428
US

IV. Provider business mailing address

6415 CARMEN AVE
INVER GROVE HEIGHTS MN
55076-4428
US

V. Phone/Fax

Practice location:
  • Phone: 651-552-0288
  • Fax: 651-552-0192
Mailing address:
  • Phone: 651-552-0288
  • Fax: 651-552-0192

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: GLORIA OR KIM NEMETZ OR GALLES
Title or Position: CO-DIRECTORS
Credential:
Phone: 651-552-0288