MEDICARE: KING DAVID HOME HEALTH CARE

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	323248	MN

General Provider Information

NPI Number	:	1497953236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KING DAVID HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	PO BOX 229
Second Line	:
City	:	WAYZATA
State	:	MN
Zip	:	55391-0229
Country	:	US
Telephone Number	:	952-935-1961
Fax Number	:	952-935-1978

Provider Business Practice Location Address
First Line	:	7758 JANERO CT
Second Line	:
City	:	COTTAGE GROVE
State	:	MN
Zip	:	55016-2217
Country	:	US
Telephone Number	:	953-935-1961
Fax Number	:	952-935-1978

Authorized Official
Title or Position	:	OWNER
Name	:	BONITA ADAMS
Credential	:
Telephone Number	:	651-459-4433

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/20/2007

Similar Medicare Providers

1588832216 — KING DAVID HOME HEALTH CARE SERVICES
Practice Location Address:

7758 JANERO CT
COTTAGE GROVE, MN
55016-2217

Practice Phone: 651-459-5023
Practice Fax: 651-769-0788

1902370810 — ASPEN INJURY CENTER LLC
Practice Location Address:

1260 E MAIN ST
COTTAGE GROVE, OR
97424-2217

Practice Phone: 541-767-3788
Practice Fax: 541-946-1057

1942903430 — ASPEN INJURY CENTER LLC
Practice Location Address:

1240 E MAIN ST
COTTAGE GROVE, OR
97424-2217

Practice Phone: 541-767-3788
Practice Fax: 541-946-1057

1063396927 — KEVIN BURCH DC
Practice Location Address:

1240 E MAIN ST
COTTAGE GROVE, OR
97424-2217

Practice Phone: 541-767-3788
Practice Fax:

1508248402 — MICHE'L MOORE MS MFT
Practice Location Address:

13309 WATERTOWN PLANK RD
ELM GROVE, WI
53122-2217

Practice Phone: 262-649-3297
Practice Fax:

1396295226 — GREGORY VINCENT FROELICH OTC
Practice Location Address:

6692 HEALEY AVE
GARDEN GROVE, CA
92845-2217

Practice Phone: 714-642-6136
Practice Fax:

Directions to “KING DAVID HOME HEALTH CARE ” 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 © 2007-2025 (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.