Healthcare Provider Details

I. General information

NPI: 1417849779
Provider Name (Legal Business Name): HGS INNOVATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2025
Last Update Date: 07/19/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 MILKYWAY AVE W
LAKE LILLIAN MN
56253-6000
US

IV. Provider business mailing address

835 10TH ST
CLEARWATER MN
55320-4585
US

V. Phone/Fax

Practice location:
  • Phone: 320-664-4848
  • Fax: 320-664-4850
Mailing address:
  • Phone: 763-607-1120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS GOEDEL
Title or Position: OWNER
Credential:
Phone: 763-607-1120