Healthcare Provider Details

I. General information

NPI: 1457444978
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA MN/WI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 02/14/2024
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 BASS LAKE RD STE 305
NEW HOPE MN
55428-3115
US

IV. Provider business mailing address

7625 METRO BLVD STE 200
EDINA MN
55439-3057
US

V. Phone/Fax

Practice location:
  • Phone: 952-945-4031
  • Fax:
Mailing address:
  • Phone: 952-945-4092
  • Fax: 763-225-4081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DEB STEINKE
Title or Position: VICE PRESIDENT AND CHIEF FINANCIAL
Credential:
Phone: 952-945-4041