Healthcare Provider Details

I. General information

NPI: 1275733404
Provider Name (Legal Business Name): BUSY BEE HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 BIDWELL ST APT 204
WEST SAINT PAUL MN
55118-3160
US

IV. Provider business mailing address

1380 BIDWELL ST APT 204
WEST SAINT PAUL MN
55118-3160
US

V. Phone/Fax

Practice location:
  • Phone: 651-206-7275
  • Fax:
Mailing address:
  • Phone: 651-206-7275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberB640866497871
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. WALTER L. BARLOW
Title or Position: OWNER/OPERATOR
Credential: C.M.A./E.M.T./CCHT
Phone: 651-206-7275