Healthcare Provider Details

I. General information

NPI: 1356227813
Provider Name (Legal Business Name): C&H SERVICES MN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4039 THOMAS AVE
MINNETONKA MN
55345-2046
US

IV. Provider business mailing address

570 ASBURY ST STE 107
SAINT PAUL MN
55104-1852
US

V. Phone/Fax

Practice location:
  • Phone: 651-756-7545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE CLAIBORNE
Title or Position: OWNER
Credential:
Phone: 651-756-7545