Healthcare Provider Details

I. General information

NPI: 1174077572
Provider Name (Legal Business Name): HOMECARE OPTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 08/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 MCKNIGHT RD S
MAPLEWOOD MN
55119-5672
US

IV. Provider business mailing address

610 MCKNIGHT RD S
MAPLEWOOD MN
55119-5672
US

V. Phone/Fax

Practice location:
  • Phone: 651-315-2726
  • Fax:
Mailing address:
  • Phone: 651-315-2726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number StateMN

VIII. Authorized Official

Name: MS. IA YANG
Title or Position: PRESIDENT/MANAGER
Credential:
Phone: 651-315-2726