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1215916903

NPI Code Detail

MEDICARE: FAIRVIEW HOME CARE AND HOSPICE

MEDICARE: FAIRVIEW HOME CARE AND HOSPICE

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	328944	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102058	OTHER	MN	UCARE
2	5900124	OTHER	MN	HOMECARE WITH MEDICA
3	650	OTHER	MN	PREFERRED ONE
4	112648	OTHER	MN	KVI CHOICE PLUS
5	680	OTHER	MN	HEALTHPARTNERS
6	HHC1201	OTHER	MN	ARAZ (AMERICA'S PPO)
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	8284HO	OTHER	MN	HOMECARE WITH BLUE CROSS

General Provider Information

NPI Number	:	1215916903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRVIEW HOME CARE AND HOSPICE

Provider Business Mailing Address
First Line	:	2450 26TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1245
Country	:	US
Telephone Number	:	612-728-2350
Fax Number	:	612-728-2400

Provider Business Practice Location Address
First Line	:	2450 26TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1245
Country	:	US
Telephone Number	:	612-728-2350
Fax Number	:	612-728-2400

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAMELA HALVORSON
Credential	:
Telephone Number	:	612-728-2340

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	09/26/2018

Similar Medicare Providers

1154380871 — ELIZABETH A WIBORG RN CNP
Practice Location Address:

2450 26TH AVE S
MINNEAPOLIS, MN
55406-1245

Practice Phone: 612-721-2491
Practice Fax:

1508898677 — SUSAN PARRY RITTER RN, APNP-BC
Practice Location Address:

2450 26TH AVE S
MINNEAPOLIS, MN
55406-1245

Practice Phone: 612-728-2455
Practice Fax: 612-728-2401

1932364221 — MARY ALICE KALIL LISW
Practice Location Address:

2450 26TH AVE S
MINNEAPOLIS, MN
55406-1245

Practice Phone: 612-728-2455
Practice Fax:

1073758686 — MERCEDES FONSECA CORDOBA PHYSICAL THERAPIST
Practice Location Address:

2450 26TH AVE S
MINNEAPOLIS, MN
55406-1245

Practice Phone: 612-721-2491
Practice Fax: 612-728-2400

1093040404 — DR. NAOMI GOLOFF MD
Practice Location Address:

2450 26TH AVE S , FAIRVIEW HOME CARE AND HOSPICE
MINNEAPOLIS, MN
55406-1245

Practice Phone: 612-721-2491
Practice Fax: 612-728-2400

1578008355 — FAIRVIEW HOME CARE AND HOSPICE
Practice Location Address:

2450 26TH AVE S
MINNEAPOLIS, MN
55406-1245

Practice Phone: 952-924-7031
Practice Fax:

Directions to “FAIRVIEW HOME CARE AND HOSPICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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