MEDICARE: E & E HOME 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		MN

General Provider Information

NPI Number	:	1417013152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E & E HOME CARE INC

Provider Business Mailing Address
First Line	:	523 49TH AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55430-3620
Country	:	US
Telephone Number	:	612-599-7750
Fax Number	:	612-588-7732

Provider Business Practice Location Address
First Line	:	523 49TH AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55430-3620
Country	:	US
Telephone Number	:	612-599-7750
Fax Number	:	612-588-7732

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. ELEANA EZELL
Credential	:	NURSING ASSIST
Telephone Number	:	612-599-7750

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/22/2020

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