Healthcare Provider Details

I. General information

NPI: 1225957087
Provider Name (Legal Business Name): KAMI ROSE STEINBACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAMI ROSE DEITCHLER

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49403 MN-87
MENAHGA MN
56464
US

IV. Provider business mailing address

49403 MN-87
MENAHGA MN
56464
US

V. Phone/Fax

Practice location:
  • Phone: 218-640-7733
  • Fax:
Mailing address:
  • Phone: 218-640-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number424676
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: