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General NPI Number Information
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NPI Number | 1225658891
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Entity Type | Organization
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Legal Business Name | BS HOMECARE INC
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 20 LAKE ST N STE 308
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City | FOREST LAKE
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State | MN
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Zip | 55025-2512
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Country | US
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Telephone | 763-689-8984
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Fax | 763-689-1170
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Provider Business Mailing Address
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Address Line | 20 LAKE ST N STE 308
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City | FOREST LAKE
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State | MN
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Zip | 55025-2512
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Country | US
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Telephone | 763-689-8984
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Fax | 763-689-1170
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATT BRUNNETTE
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Credential |
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Telephone | 763-689-8984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing 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 | 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 #3
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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 #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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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 #7
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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