MEDICARE: HAVEN HOME CARE 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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1467170506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAVEN HOME CARE LLC

Provider Business Mailing Address
First Line	:	2913 RICE CREEK PKWY NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55449-6766
Country	:	US
Telephone Number	:	763-219-0826
Fax Number	:

Provider Business Practice Location Address
First Line	:	2913 RICE CREEK PKWY NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55449-6766
Country	:	US
Telephone Number	:	763-219-0826
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FALMATA TULA
Credential	:
Telephone Number	:	763-219-0826

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	08/15/2022

Similar Medicare Providers

1760259295 — INFINITY HOUSING SERVICE
Practice Location Address:

2913 RICE CREEK PKWY NE
MINNEAPOLIS, MN
55449-6766

Practice Phone: 612-229-1635
Practice Fax:

1336985902 — FALMATA TULA
Practice Location Address:

2913 RICE CREEK PKWY NE
MINNEAPOLIS, MN
55449-6766

Practice Phone: 763-219-0826
Practice Fax:

1912707357 — SERENITY REHABILITATION & WELLNESS LLC
Practice Location Address:

2913 RICE CREEK PKWY NE
BLAINE, MN
55449-6766

Practice Phone: 612-229-1635
Practice Fax:

1467331850 — LEGACY SUPPORT LLC
Practice Location Address:

2913 RICE CREEK PKWY NE
BLAINE, MN
55449-6766

Practice Phone: 763-219-0826
Practice Fax:

1508939331 — MSOCS-BLAINE
Practice Location Address:

12949 KENYON ST NE
MINNEAPOLIS, MN
55449-4991

Practice Phone: 763-755-0233
Practice Fax:

1134272586 — GEORGIANN KAE JENSEN O.D.
Practice Location Address:

12170 ABERDEEN ST NE
MINNEAPOLIS, MN
55449-4716

Practice Phone: 763-757-7000
Practice Fax: 763-757-3328

Directions to “HAVEN HOME CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.