Healthcare Provider Details

I. General information

NPI: 1578298758
Provider Name (Legal Business Name): STURDYCARE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2481 JABER AVE NE
SAINT MICHAEL MN
55376-5407
US

IV. Provider business mailing address

2481 JABER AVE NE
SAINT MICHAEL MN
55376-5407
US

V. Phone/Fax

Practice location:
  • Phone: 763-300-0048
  • Fax:
Mailing address:
  • Phone: 763-300-0048
  • Fax: 763-300-0048

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ERASMOS C NUMFOR
Title or Position: PRESIDENT
Credential:
Phone: 763-600-4499