Healthcare Provider Details

I. General information

NPI: 1497619456
Provider Name (Legal Business Name): EMPATHIC HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 6TH AVE S APT 2
SAINT CLOUD MN
56301-3516
US

IV. Provider business mailing address

1027 6TH AVE S APT 2
SAINT CLOUD MN
56301-3516
US

V. Phone/Fax

Practice location:
  • Phone: 612-232-2754
  • Fax:
Mailing address:
  • Phone: 612-232-2754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. CELESTINE NKEMZI
Title or Position: MEMBER-OWNER
Credential:
Phone: 763-447-9889