MEDICARE: 24 HOUR NURSING CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316419807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	24 HOUR NURSING CARE LLC

Provider Business Mailing Address
First Line	:	9224 ELLIOT AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-3852
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9224 ELLIOT AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-3852
Country	:	US
Telephone Number	:	612-999-5977
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TENZIN PALDON
Credential	:
Telephone Number	:	612-999-5977

Provider Enumeration Date	:	12/20/2018
Last Update Date	:	02/04/2019

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