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General NPI Number Information
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NPI Number | 1760372866
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Entity Type | Organization
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Legal Business Name | MN HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 900 AMERICAN BLVD E STE 101
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City | MINNEAPOLIS
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State | MN
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Zip | 55420-1393
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Country | US
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Telephone | 612-913-4241
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Fax | 612-743-1977
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Provider Business Mailing Address
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Address Line | 900 AMERICAN BLVD E STE 101
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City | MINNEAPOLIS
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State | MN
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Zip | 55420-1393
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Country | US
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Telephone | 612-743-1977
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RIZWAN FAROOQ
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Credential |
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Telephone | 161-274-3197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 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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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 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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