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General NPI Number Information
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NPI Number | 1134917081
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Entity Type | Organization
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Legal Business Name | LINWOOD HOME CARE LLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 24030 TYPO CREEK DR NE
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City | STACY
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State | MN
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Zip | 55079-6716
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Country | US
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Telephone | 320-455-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 38868 12TH AVE # 1149
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City | NORTH BRANCH
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State | MN
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Zip | 55056-6658
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Country | US
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Telephone | 763-297-0397
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Fax | 763-402-7692
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Authorized Official
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Title or Position | CEO
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Name | PA KOU MOUA
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Credential |
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Telephone | 763-297-0397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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