Healthcare Provider Details

I. General information

NPI: 1417301250
Provider Name (Legal Business Name): CHW SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 WILDER ST N
SAINT PAUL MN
55104
US

IV. Provider business mailing address

178 WILDER ST N
SAINT PAUL MN
55104-5828
US

V. Phone/Fax

Practice location:
  • Phone: 651-587-2497
  • Fax:
Mailing address:
  • Phone: 651-587-2497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MEGAN M CURRAN DE NIETO
Title or Position: CO-OWNER
Credential:
Phone: 651-315-4905