Healthcare Provider Details

I. General information

NPI: 1356665897
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2010
Last Update Date: 02/05/2021
Certification Date: 02/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11400 4TH ST N
MINNETONKA MN
55343-3603
US

IV. Provider business mailing address

7485 OFFICE RIDGE CIR
EDEN PRAIRIE MN
55344-3690
US

V. Phone/Fax

Practice location:
  • Phone: 952-933-1752
  • Fax: 952-933-0730
Mailing address:
  • Phone: 952-941-0305
  • Fax: 952-941-0428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NANCY GAVIN
Title or Position: ASSISTANT SECRETARY/ASSISTANT TREAS
Credential:
Phone: 952-941-0305