Healthcare Provider Details

I. General information

NPI: 1962918896
Provider Name (Legal Business Name): ANOD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2017
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4846 PARK GLEN RD
ST LOUIS PARK MN
55416-5702
US

IV. Provider business mailing address

4846 PARK GLEN RD
ST LOUIS PARK MN
55416-5702
US

V. Phone/Fax

Practice location:
  • Phone: 651-802-2533
  • Fax: 612-288-1002
Mailing address:
  • Phone: 651-802-2533
  • Fax: 612-288-1002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. HURRE KOJE
Title or Position: COMPLIANCE OFFICER
Credential: JD
Phone: 952-353-3802