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NPI Code Detail

MEDICARE: 1STOP HOMECARE LLC

MEDICARE: 1STOP HOMECARE LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1427748433
Entity Type Code : Organization
Provider Name (Legal Business Name) : 1STOP HOMECARE LLC
Provider Business Mailing Address
First Line : 15644 FAIRFIELD DR
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-5352
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8400 NORMANDALE LAKE BLVD STE 920
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-3843
Country : US
Telephone Number : 612-475-9418
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF FINANCE & COMPLIANCE
Name : SAIDO MOHAMED
Credential :
Telephone Number : 612-203-0424
Provider Enumeration Date : 05/11/2023
Last Update Date : 05/11/2023

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Directions to “1STOP HOMECARE LLC ” Practice Location

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