MEDICARE: C & H SERVICES MN L.L.C.

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1346119674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & H SERVICES MN L.L.C.

Provider Business Mailing Address
First Line	:	570 ASBURY ST STE 107
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-1852
Country	:	US
Telephone Number	:	651-756-7545
Fax Number	:

Provider Business Practice Location Address
First Line	:	5324 SW 82ND AVE
Second Line	:
City	:	OWATONNA
State	:	MN
Zip	:	55060-5021
Country	:	US
Telephone Number	:	651-756-7545
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINE CAIBORNE
Credential	:
Telephone Number	:	651-756-7545

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	04/14/2026

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