Healthcare Provider Details

I. General information

NPI: 1689723207
Provider Name (Legal Business Name): ACCURATE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 04/01/2022
Certification Date: 03/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 QUANTRELLE AVE NE STE 200
OTSEGO MN
55330-1022
US

IV. Provider business mailing address

9000 QUANTRELLE AVE NE STE 200
OTSEGO MN
55330-1041
US

V. Phone/Fax

Practice location:
  • Phone: 763-633-3800
  • Fax: 763-633-3808
Mailing address:
  • Phone: 763-633-3800
  • Fax: 763-633-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number377066
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number377066
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JACKIE JACOBSON
Title or Position: VP OF OPERATIONS
Credential:
Phone: 763-633-3800