MEDICARE: A PLUS HEALTH 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	251J00000X	Nursing Care Agency	4000335	IL
2	251E00000X	Home Health Agency	1011421	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154575728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	9000 QUANTRELLE AVE NE
Second Line	:
City	:	OTSEGO
State	:	MN
Zip	:	55330
Country	:	US
Telephone Number	:	763-633-3800
Fax Number	:	763-633-3808

Provider Business Practice Location Address
First Line	:	4507 NORTH STERLING AVE
Second Line	:	SUITE 201
City	:	PEORIA
State	:	IL
Zip	:	61615-3861
Country	:	US
Telephone Number	:	309-762-8439
Fax Number	:	309-762-7720

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	HEATHER LUNDSTROM
Credential	:
Telephone Number	:	763-633-3800

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	04/14/2017

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