Healthcare Provider Details

I. General information

NPI: 1790478329
Provider Name (Legal Business Name): HONESTY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3564 235TH LN NW
SAINT FRANCIS MN
55070-5400
US

IV. Provider business mailing address

3564 235TH LN NW
SAINT FRANCIS MN
55070-5400
US

V. Phone/Fax

Practice location:
  • Phone: 763-516-8545
  • Fax:
Mailing address:
  • Phone: 763-516-8545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: OPHELIA KPEWOAN
Title or Position: OWNER
Credential:
Phone: 763-516-8545