MEDICARE: INTERNATIONAL QUALITY HOMECARE, CORPORATION.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	141974	OTHER	MN	UCARE PROVIDER #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8Y09IN	OTHER	MN	BLUE CROSS PROVIDER #

General Provider Information

NPI Number	:	1437237070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNATIONAL QUALITY HOMECARE, CORPORATION.

Provider Business Mailing Address
First Line	:	3900 FAIRWAY PL NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-5039
Country	:	US
Telephone Number	:	888-995-4742
Fax Number	:	507-252-1985

Provider Business Practice Location Address
First Line	:	3900 FAIRWAY PL NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-5039
Country	:	US
Telephone Number	:	888-995-4742
Fax Number	:	507-252-1985

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DR. ADERONKE MORDI
Credential	:	PHD, RN, MBA
Telephone Number	:	507-252-8117

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	01/15/2020

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Directions to “INTERNATIONAL QUALITY HOMECARE, CORPORATION. ” Practice Location

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