Healthcare Provider Details

I. General information

NPI: 1386315505
Provider Name (Legal Business Name): CARE4ALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 MINNESOTA ST STE 1519
SAINT PAUL MN
55101-2190
US

IV. Provider business mailing address

445 MINNESOTA ST STE 1519
SAINT PAUL MN
55101-2190
US

V. Phone/Fax

Practice location:
  • Phone: 651-760-0150
  • Fax:
Mailing address:
  • Phone: 651-313-0647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: COA MURRELL
Title or Position: OWNER
Credential:
Phone: 651-313-0647