Healthcare Provider Details

I. General information

NPI: 1174363683
Provider Name (Legal Business Name): BESTVIEW CARE OPTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2024
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 RICE ST STE 104
ROSEVILLE MN
55113-3720
US

IV. Provider business mailing address

2345 RICE ST STE 104
ROSEVILLE MN
55113-3720
US

V. Phone/Fax

Practice location:
  • Phone: 479-899-2588
  • Fax:
Mailing address:
  • Phone: 479-899-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MAY D VANG
Title or Position: LEAD COVERAGE CASE MANAGER
Credential:
Phone: 479-899-2588