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General NPI Number Information
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NPI Number | 1467502070
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Entity Type | Organization
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Legal Business Name | CAREFOCUS CORPORATION
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 2429 UNIVERSITY AVENUE WEST
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City | ST. PAUL
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State | MN
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Zip | 55114
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Country | US
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Telephone | 952-544-6223
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Fax | 952-544-6271
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Provider Business Mailing Address
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Address Line | 2429 UNIVERSITY AVENUE WEST
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City | ST. PAUL
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State | MN
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Zip | 55114
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Country | US
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Telephone | 651-925-5598
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Fax | 651-925-5599
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | DEBRA MEAD
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Credential | DIRECTOR OF NURSING
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Telephone | 651-925-5598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 876405100
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License Number State | MN
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