Healthcare Provider Details

I. General information

NPI: 1902760747
Provider Name (Legal Business Name): DEVOTED KARE, 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

27111 103RD ST NW
ZIMMERMAN MN
55398-4639
US

IV. Provider business mailing address

27111 103RD ST NW
ZIMMERMAN MN
55398-4639
US

V. Phone/Fax

Practice location:
  • Phone: 763-204-2481
  • Fax: 763-200-4384
Mailing address:
  • Phone: 763-204-2481
  • Fax: 763-200-4384

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: ISABEL BRATZ
Title or Position: OWNER
Credential:
Phone: 763-204-2481