Healthcare Provider Details

I. General information

NPI: 1134200942
Provider Name (Legal Business Name): ACR HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2437 RICE ST
ROSEVILLE MN
55113-3706
US

IV. Provider business mailing address

2437 RICE ST
ROSEVILLE MN
55113-3706
US

V. Phone/Fax

Practice location:
  • Phone: 651-484-5897
  • Fax: 651-203-0693
Mailing address:
  • Phone: 651-484-5897
  • Fax: 651-203-0693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMES A NELSON
Title or Position: CEO
Credential:
Phone: 651-484-5897