MEDICARE: BEST OF CARE 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	331972	MN
2	251E00000X	Home Health Agency		MN

General Provider Information

NPI Number	:	1326112723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST OF CARE INC

Provider Business Mailing Address
First Line	:	100 SO FIFTH STREET
Second Line	:	#1954
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55402
Country	:	US
Telephone Number	:	612-605-6154
Fax Number	:	612-605-6084

Provider Business Practice Location Address
First Line	:	8300 ZANE AVE N
Second Line	:	# 303
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-2185
Country	:	US
Telephone Number	:	763-225-7344
Fax Number	:	763-208-4690

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LILLIAN CARLETTA RICHARDSON
Credential	:	PROVIDER
Telephone Number	:	612-605-6154

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	09/23/2008

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