MEDICARE: HANDS CARE LLP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	3104A0625X	Assisted Living Facility (Mental Illness)
3	251J00000X	Nursing Care Agency
4	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
5	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1366093650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS CARE LLP

Provider Business Mailing Address
First Line	:	1065 DENNIS ST S
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55119-3573
Country	:	US
Telephone Number	:	612-306-6157
Fax Number	:

Provider Business Practice Location Address
First Line	:	1065 DENNIS ST S
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55119-3573
Country	:	US
Telephone Number	:	612-306-6157
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. GLORIA MACRAE
Credential	:	RN, BSN
Telephone Number	:	612-306-6157

Provider Enumeration Date	:	09/27/2019
Last Update Date	:	09/27/2019

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