MEDICARE: CARING HOME HELTH CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MN

General Provider Information

NPI Number	:	1053401307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HOME HELTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	6000 BASS LAKE RD
Second Line	:	SUITE 101
City	:	CRYSTAL
State	:	MN
Zip	:	55429-2700
Country	:	US
Telephone Number	:	763-504-2400
Fax Number	:	763-226-2535

Provider Business Practice Location Address
First Line	:	6000 BASS LAKE RD
Second Line	:	SUITE 101
City	:	CRYSTAL
State	:	MN
Zip	:	55429-2700
Country	:	US
Telephone Number	:	763-504-2400
Fax Number	:	763-226-2535

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. GODFREY NERO EDAFERIERHI
Credential	:
Telephone Number	:	763-504-2400

Provider Enumeration Date	:	10/14/2006
Last Update Date	:	08/22/2020

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