Healthcare Provider Details

I. General information

NPI: 1235056276
Provider Name (Legal Business Name): COMMUNITY CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 CLEVELAND AVE S STE 209
SAINT PAUL MN
55116-3866
US

IV. Provider business mailing address

790 CLEVELAND AVE S STE 209
SAINT PAUL MN
55116-3866
US

V. Phone/Fax

Practice location:
  • Phone: 952-715-2264
  • Fax:
Mailing address:
  • Phone: 952-715-2264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA FLORES ORTIZ
Title or Position: OWNER
Credential:
Phone: 952-715-2264