Healthcare Provider Details

I. General information

NPI: 1164695680
Provider Name (Legal Business Name): OPTIONS PLUS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2008
Last Update Date: 10/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1159 GILMORE AVE SUITE C
WINONA MN
55987-2489
US

IV. Provider business mailing address

1159 GILMORE AVE STE C
WINONA MN
55987-2489
US

V. Phone/Fax

Practice location:
  • Phone: 507-474-1509
  • Fax: 507-474-2509
Mailing address:
  • Phone: 507-474-1509
  • Fax: 507-474-2509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number25827
License Number StateMN

VIII. Authorized Official

Name: MS. JENNI LEE ZIMMERMAN
Title or Position: CEO
Credential: LPN
Phone: 507-474-1509