Healthcare Provider Details

I. General information

NPI: 1245773357
Provider Name (Legal Business Name): CARE4EVERYONE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

749 MILTON ST N
SAINT PAUL MN
55104-1530
US

IV. Provider business mailing address

747 MILTON ST N
SAINT PAUL MN
55104-1530
US

V. Phone/Fax

Practice location:
  • Phone: 651-300-2073
  • Fax: 612-278-2297
Mailing address:
  • Phone: 612-735-2298
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DIA YANG
Title or Position: OWNER
Credential:
Phone: 612-735-2298